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1700013810
SUSAN ALICE BALDELOMAR
FORT WORTH, TX
NPI
1700013810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 59202)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- SUSAN ALICE BALDELOMAR L.P.C.
5621 WESSEX AVE
FORT WORTH, TX 76133-2822
Phone number: 817-994-6422
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Mailing Address
-- SUSAN ALICE BALDELOMAR L.P.C.
5621 WESSEX AVE
FORT WORTH, TX 76133-2822
Phone number: 817-994-6422
Copy
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