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1881305464
EBONI SAMUEL
GRAND PRAIRIE, TX
NPI
1881305464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 79980)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
EBONI SAMUEL
2639 BRIDGEWATER DR
GRAND PRAIRIE, TX 75054-7229
Phone number: 214-604-6724
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Mailing Address
EBONI SAMUEL
2639 BRIDGEWATER DR
GRAND PRAIRIE, TX 75054-7229
Phone number: 214-604-6724
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