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1396573580
SHANTEL GREEN
FORT WORTH, TX
NPI
1396573580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 106566)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
SHANTEL GREEN
1751 RIVER RUN STE 200
FORT WORTH, TX 76107-6670
Phone number: 817-500-0785
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Mailing Address
SHANTEL GREEN
1751 RIVER RUN STE 200
FORT WORTH, TX 76107-6670
Phone number: 817-500-0785
Copy
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