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1861043713
JACOB O WASONGA
FORT WORTH, TX
NPI
1861043713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 203024)
Enumeration Date
2019-09-23
Last Update Date
2020-12-14
Business Address
Dr. JACOB O WASONGA Ph.D, LMFT
1124 GALVESTON AVE STE B
FORT WORTH, TX 76104-4878
Phone number: 210-420-8117
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Mailing Address
Dr. JACOB O WASONGA Ph.D, LMFT
PO BOX 592732
SAN ANTONIO, TX 78259-0186
Phone number: 817-609-2289
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