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1396577144
ERICA JACQUEZ BURAL
AMARILLO, TX
NPI
1396577144
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Former Name
ERICA JACQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 107478)
Enumeration Date
2024-08-19
Last Update Date
2024-09-06
Business Address
ERICA JACQUEZ BURAL LCSW
1400 WALLACE BLVD
AMARILLO, TX 79106-1708
Phone number: 806-414-9644
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Mailing Address
ERICA JACQUEZ BURAL LCSW
1400 WALLACE BLVD
AMARILLO, TX 79106-1708
Phone number: 806-414-9644
Copy
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