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1891525481
ALEXUS BREANNA SEPULVEDA
FORT WORTH, TX
NPI
1891525481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 68670)
Enumeration Date
2024-08-07
Last Update Date
2024-08-12
Business Address
Mrs. ALEXUS BREANNA SEPULVEDA LCSW
101 NEW YORK AVE
FORT WORTH, TX 76104-1558
Phone number: 817-821-6482
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Mailing Address
Mrs. ALEXUS BREANNA SEPULVEDA LCSW
101 NEW YORK AVE
FORT WORTH, TX 76104-1558
Phone number: 214-418-0608
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