Individual
HOLLY CARCHESIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4686 BRISTOL TRACE TRL, FORT WORTH, TX 76244-6947
(817) 300-1590
Mailing address
9316 MONCRIEF ST, FORT WORTH, TX 76244-6157
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201616
TX
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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