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1538648043
ESTELA M DOMINGUEZ
FORT WORTH, TX
NPI
1538648043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13569)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
ESTELA M DOMINGUEZ AAS
1527 HEMPHILL ST
FORT WORTH, TX 76104-4706
Phone number: 817-335-3022
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Mailing Address
ESTELA M DOMINGUEZ AAS
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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