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1699434530
MAMIE LEANN FLYNN
FORT WORTH, TX
NPI
1699434530
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Former Name
MAMIE LEANN HICKS,LOISELLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
MAMIE LEANN FLYNN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
MAMIE LEANN FLYNN
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number:
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