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1790713642
JACK LOREN LEVENS
BELTON, TX
NPI
1790713642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX S20968)
Enumeration Date
2006-06-29
Last Update Date
2019-08-12
Business Address
Mr. JACK LOREN LEVENS LCSW
3745 CANYON HEIGHTS RD
BELTON, TX 76513-5137
Phone number: 254-681-8919
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Mailing Address
Mr. JACK LOREN LEVENS LCSW
3745 CANYON HEIGHTS RD
BELTON, TX 76513-5137
Phone number: 254-681-8919
Copy
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