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Individual

BEVERLY WOODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-A, M.S.

Contact information

Practice address
101 N MAIN ST STE 200A, RHOME, TX 76078-4576
(817) 382-1490
Mailing address
9048 LAKESIDE DR, FORT WORTH, TX 76179-6679

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
TX

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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