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1801301189
EMILY WALLEN
FORT WORTH, TX
NPI
1801301189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 19368)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
EMILY WALLEN MA, LPC
4516 BOAT CLUB RD STE 106
FORT WORTH, TX 76135-7020
Phone number: 817-238-0106
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Mailing Address
EMILY WALLEN MA, LPC
4516 BOAT CLUB RD STE 106
FORT WORTH, TX 76135-7020
Phone number: 817-238-0106
Copy
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