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1902943939
ALEXANDRA TIQUE-MONTENEGRO
SOUTHLAKE, TX
NPI
1902943939
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Former Name
ALEXANDRA TIQUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-01-31
Last Update Date
2022-12-28
Business Address
Mrs. ALEXANDRA TIQUE-MONTENEGRO LCSW
431 E STATE HIGHWAY 114 FL 1
SOUTHLAKE, TX 76092-4412
Phone number: 844-824-8775
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Mailing Address
Mrs. ALEXANDRA TIQUE-MONTENEGRO LCSW
2332 BEVERLY HILLS DR
FORT WORTH, TX 76114-1756
Phone number: 817-625-4254
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