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1780214106
JEREMY ADAM LELEK
FORT WORTH, TX
NPI
1780214106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 18370)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
JEREMY ADAM LELEK PhD
2501 PARKVIEW DR STE 220
FORT WORTH, TX 76102-5824
Phone number: 817-571-4110
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Mailing Address
JEREMY ADAM LELEK PhD
PO BOX 126558
FORT WORTH, TX 76126-6558
Phone number: 817-571-4110
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