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1891559159
JULIE GLASS WILLINGHAM
FORT WORTH, TX
NPI
1891559159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 6687)
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
JULIE GLASS WILLINGHAM MSAC, LCDC
6115 CAMP BOWIE BLVD STE 220
FORT WORTH, TX 76116-5543
Phone number: 888-734-2289
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Mailing Address
JULIE GLASS WILLINGHAM MSAC, LCDC
136 ANITA AVE
KELLER, TX 76248-2435
Phone number: 469-516-4574
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