CHRISTINA LACIVITA

FORT WORTH, TX
NPI1669005245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  64317)
Enumeration Date2020-02-21
Last Update Date2020-02-21
Business Address
CHRISTINA LACIVITA
6115 CAMP BOWIE BLVD STE 220
FORT WORTH, TX 76116-5543
Phone number: 817-381-0633
Mailing Address
CHRISTINA LACIVITA
6115 CAMP BOWIE BLVD STE 220
FORT WORTH, TX 76116-5543
Phone number: 817-381-0633
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