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1528333044
ENRIQUE ILLINGWORTH
FORT WORTH, TX
NPI
1528333044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 37644)
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
-- ENRIQUE ILLINGWORTH lmsw
2700 MEACHAM BLVD SUITE 100
FORT WORTH, TX 76137
Phone number: 817-984-8525
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Mailing Address
-- ENRIQUE ILLINGWORTH lmsw
2416 FM 2280
CLEBURNE, TX 76031
Phone number: 817-526-4862
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