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1700346012
JONATHAN MOSSBERG
ALLEN, TX
NPI
1700346012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 61862)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
JONATHAN MOSSBERG LCSW
1514 N GREENVILLE AVE STE 310
ALLEN, TX 75002-1205
Phone number: 547-131-8214
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Mailing Address
JONATHAN MOSSBERG LCSW
400 W PEMBROKE AVE
DALLAS, TX 75208-6534
Phone number: 914-204-0238
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