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1790511301
SHAHARZADE G EBRAHIMI
DENTON, TX
NPI
1790511301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 103502)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
SHAHARZADE G EBRAHIMI
1300 FULTON ST STE 402
DENTON, TX 76201-2661
Phone number: 940-594-5255
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Mailing Address
SHAHARZADE G EBRAHIMI
2412 KAYEWOOD DR
DENTON, TX 76209-2253
Phone number: 940-594-5255
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