THE MAGNOLIA CLINIC, LLC

FORT WORTH, TX
NPI1629731302
Entity TypeOrganization
Authorized ContactJACOB WASONGA
Owner
817-609-2289
Organization Subpart ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
THE MAGNOLIA CLINIC, LLC
1124 GALVESTON AVE STE B
FORT WORTH, TX 76104-4878
Phone number: 817-609-2289
Mailing Address
THE MAGNOLIA CLINIC, LLC
PO BOX 592732
SAN ANTONIO, TX 78259-0186
Phone number: 817-609-2289
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