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1982340998
DIANE WEATHERFORD
MESQUITE, TX
NPI
1982340998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 13247)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
DIANE WEATHERFORD LPC
4805 VIA VENTURA
MESQUITE, TX 75150-3153
Phone number: 615-943-9479
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Mailing Address
DIANE WEATHERFORD LPC
4805 VIA VENTURA
MESQUITE, TX 75150-3153
Phone number: 615-943-9479
Copy
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