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Organization
WHOLESOME INTIMACY PLLC
Active
Organization
WHOLESOME INTIMACY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILA J STEPHENSON MA, LPC, CST (DIRECTOR)
(817) 456-4893
Entity
Organization
Contact information
Practice address
600 STRADA CIR, SUITE 112, MANSFIELD, TX 76063-3201
(817) 456-4893
Mailing address
PO BOX 1138, MANSFIELD, TX 76063-1138
(817) 456-4893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
01/12/2017
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