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1467716746
CELENA AUSTIN LATHAM
FORT WORTH, TX
NPI
1467716746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10951)
Enumeration Date
2012-07-01
Last Update Date
2012-07-01
Business Address
-- CELENA AUSTIN LATHAM LCDC
2700 AIRPORT FWY
FORT WORTH, TX 76111-2332
Phone number: 817-332-6329
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Mailing Address
-- CELENA AUSTIN LATHAM LCDC
2700 AIRPORT FWY
FORT WORTH, TX 76111-2332
Phone number: 817-332-6329
Copy
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