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1437928553
JAMIE SHANELL MATTHEWS
FORT WORTH, TX
NPI
1437928553
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Former Name
JAMIE SHANELL KEARSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
JAMIE SHANELL MATTHEWS
6106 PORTICO DR APT 1123
FORT WORTH, TX 76132-4173
Phone number: 803-586-4040
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Mailing Address
JAMIE SHANELL MATTHEWS
6106 PORTICO DR APT 1123
FORT WORTH, TX 76132-4173
Phone number: 803-586-4040
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