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1770093718
DIANA GALE HAM
MANSFIELD, TX
NPI
1770093718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 60397)
Enumeration Date
2017-10-04
Last Update Date
2017-10-11
Business Address
DIANA GALE HAM LPC
1800 E BROAD ST ANNEX C
MANSFIELD, TX 76063-3411
Phone number: 817-812-2880
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Mailing Address
DIANA GALE HAM LPC
5751 PARK VISTA CIRCLE SUITE 101
KELLER, TX 76244-5607
Phone number: 817-812-2880
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