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1598344640
CRYSTAL MARIE KINMON
FORT WORTH, TX
NPI
1598344640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 51823)
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
Mrs. CRYSTAL MARIE KINMON LCDC-I
5201 MCCART AVE STE H
FORT WORTH, TX 76115-3700
Phone number: 817-207-8700
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Mailing Address
Mrs. CRYSTAL MARIE KINMON LCDC-I
5201 MCCART AVE STE H
FORT WORTH, TX 76115-3700
Phone number: 817-207-8700
Copy
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