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Individual

DR. ANTONIA LISA GUERRA-WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1701 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-8145
(817) 416-1235
Mailing address
1701 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-8145
(817) 416-1235

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
31889
TX
103TH0100X
Health Service Psychologist
Primary
31889
TX

Other

Enumeration date
11/14/2006
Last updated
07/08/2021
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