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1891107660
LAKESHA STIDUM
FORT WORTH, TX
NPI
1891107660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-05-28
Last Update Date
2022-11-11
Business Address
LAKESHA STIDUM
101 NEW YORK AVE
FORT WORTH, TX 76104-1558
Phone number: 870-270-7975
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Mailing Address
LAKESHA STIDUM
3964 WATERCOURSE DR APT 1458
FORT WORTH, TX 76109-2091
Phone number: 870-270-7975
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