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1629045497
WILLEM H FAHRENBRUCK
LONGVIEW, TX
NPI
1629045497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 83081)
Enumeration Date
2006-03-01
Last Update Date
2023-07-13
Business Address
Mr. WILLEM H FAHRENBRUCK LCPC
3122 NEALY WAY STE 219
LONGVIEW, TX 75605-1088
Phone number: 903-452-8040
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Mailing Address
Mr. WILLEM H FAHRENBRUCK LCPC
1513 MIAMI DR
LONGVIEW, TX 75601-3553
Phone number: 605-440-2145
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