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1801415856
JAYME FUNDERBURK
WACO, TX
NPI
1801415856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77970)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
JAYME FUNDERBURK LPC
1105 JEFFERSON AVE
WACO, TX 76701-1212
Phone number: 254-752-3451
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Mailing Address
JAYME FUNDERBURK LPC
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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