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Organization
SPECIALIZED TRANSFORMATION
Active
Organization
SPECIALIZED TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA GUY (ONWERS)
(800) 601-9519
Entity
Organization
Contact information
Practice address
2305 CORN VALLEY RD, 230-4B, GRAND PRAIRIE, TX 75051-8804
(800) 601-9519
(866) 326-6765
Mailing address
2305 CORN VALLEY RD, 230-4B, GRAND PRAIRIE, TX 75051-8804
(800) 601-9519
(866) 326-6765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64618
TX
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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