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1609412519
LISA FAYE WALDON
DENTON, TX
NPI
1609412519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
LISA FAYE WALDON CI
621 LONDONDERRY LN
DENTON, TX 76205-7792
Phone number: 940-483-0644
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Mailing Address
LISA FAYE WALDON CI
3220 SHADOW TRL
DENTON, TX 76207-7447
Phone number: 254-366-7537
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