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1891432043
MACKENZIE RUTH FORD
WIMBERLEY, TX
NPI
1891432043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX 14425)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
MACKENZIE RUTH FORD LDCD
10703 RANCH ROAD 12
WIMBERLEY, TX 78676-5239
Phone number: 512-955-5510
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Mailing Address
MACKENZIE RUTH FORD LDCD
10703 RANCH ROAD 12
WIMBERLEY, TX 78676-5239
Phone number: 512-955-5510
Copy
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