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Organization
MOMENTUM PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
MOMENTUM PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BLAINE MEADOR LCSW (OWNER)
(214) 674-8806
Entity
Organization
Contact information
Practice address
520 CENTRAL PKWY E, SUITE 234, PLANO, TX 75074-5587
(214) 674-8806
Mailing address
PO BOX 864047, PLANO, TX 75086-4047
(214) 674-8806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21056
TX
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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