Individual
MRS. CIARA L WEDDBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
111 NW 24TH ST, FORT WORTH, TX 76164-8544
(817) 626-6401
(817) 626-6400
Mailing address
111 NW 24TH ST, FORT WORTH, TX 76164-8544
(817) 626-6401
(817) 626-6400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71054
TX
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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