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Organization
GO FEARLESS, PLLC
Active
Organization
GO FEARLESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENTRELLE MOORE (OWNER)
(214) 649-2141
Entity
Organization
Contact information
Practice address
10935 ESTATE LN, DALLAS, TX 75238-2316
(972) 652-0703
Mailing address
318 BUHLER DR, GARLAND, TX 75040-7807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538721808
COUNSELOR
TX
Enumeration date
02/10/2021
Last updated
02/10/2021
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