Individual
CHARLENE ABLA AWADJIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 CHASE HILL LN, BURLESON, TX 76028-7082
(682) 702-0586
Mailing address
316 CHASE HILL LN, BURLESON, TX 76028-7082
(682) 702-0586
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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