Individual
JANUETTE LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E YOUNG ST, LONGVIEW, TX 75602-1829
(903) 220-8481
(903) 758-1836
Mailing address
PO BOX 196, JUDSON, TX 75660-0196
(903) 220-8481
(309) 758-1836
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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