Individual
CONSTANCE CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5375
(817) 447-3001
Mailing address
4232 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5375
(817) 447-3001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70598
TX
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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