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Individual
ELIZABETH A FAWCETT
Active
Individual
ELIZABETH A FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13061
TX
101YP2500X
Professional Counselor
Primary
72873
TX
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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