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Individual

CHANELL N FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 ABRAMS RD, RICHARDSON, TX 75081-5578
(972) 638-7199
Mailing address
621 REVEILLE RD, FORT WORTH, TX 76108-3933
(817) 713-1607

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
76377
TX

Other

Enumeration date
07/28/2018
Last updated
07/28/2018
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