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1417588369
ANN KEITH
FORT WORTH, TX
NPI
1417588369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 57012)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
ANN KEITH
225 CASA BLANCA AVE
FORT WORTH, TX 76107-7720
Phone number: 505-603-2466
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Mailing Address
ANN KEITH
225 CASA BLANCA AVE
FORT WORTH, TX 76107-7720
Phone number: 505-603-2466
Copy
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