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1417725268
GRANT BOATWRIGHT
PANTEGO, TX
NPI
1417725268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 93448)
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
GRANT BOATWRIGHT LPC-A
3613 W PIONEER PKWY STE A
PANTEGO, TX 76013-4517
Phone number: 817-646-6823
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Mailing Address
GRANT BOATWRIGHT LPC-A
3613 W PIONEER PKWY STE A
PANTEGO, TX 76013-4517
Phone number: 817-646-6823
Copy
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