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1477259919
LIZA MONIQUE FANT
CANUTILLO, TX
NPI
1477259919
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Professional Name
LIZA M FANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 83527)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
LIZA MONIQUE FANT LPC-A
7351 DEL SOL WAY
CANUTILLO, TX 79835-6103
Phone number: 915-301-9779
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Mailing Address
LIZA MONIQUE FANT LPC-A
7351 DEL SOL WAY
CANUTILLO, TX 79835-6103
Phone number: 915-301-9779
Copy
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