Individual
CASSI MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 ENDERLY PL, FORT WORTH, TX 76104-4122
(469) 334-3151
Mailing address
1706 ENDERLY PL, FORT WORTH, TX 76104-4122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92201
TX
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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