Individual
LADONNA TENNILLE COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E. 15TH STREET, SUITE 340, FT WORTH, TX 76102
(817) 332-2211
(817) 332-5268
Mailing address
100 E. 15TH STREET, SUITE 340, FORT WORTH, TX 76102
(817) 332-2211
(817) 332-5268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64097
TX
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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