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1619100427
ISSAC JUSTIN CONNIE
FORT WORTH, TX
NPI
1619100427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63446)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
-- ISSAC JUSTIN CONNIE M A, LPC
1220 W PRESIDIO ST
FORT WORTH, TX 76102-4512
Phone number: 817-335-6429
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Mailing Address
-- ISSAC JUSTIN CONNIE M A, LPC
1220 W PRESIDIO ST
FORT WORTH, TX 76102-4512
Phone number:
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