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1700206489
LIESL J EDWARDS
FORT WORTH, TX
NPI
1700206489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 38662)
Enumeration Date
2014-04-22
Last Update Date
2025-01-03
Business Address
LIESL J EDWARDS PhD
1500 COOPER ST
FORT WORTH, TX 76104
Phone number: 173-479-6018
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Mailing Address
LIESL J EDWARDS PhD
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860
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