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1982284899
INTENTIONAL LIVING COUNSELING CENTER
FORNEY, TX
NPI
1982284899
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Entity Type
Organization
Authorized Contact
JASMINE BATTLES
Therapist
504-410-0031
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
INTENTIONAL LIVING COUNSELING CENTER
741 MERCY ST
FORNEY, TX 75126-2715
Phone number: 504-410-0031
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Mailing Address
INTENTIONAL LIVING COUNSELING CENTER
741 MERCY ST
FORNEY, TX 75126-2715
Phone number: 504-410-0031
Copy
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