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Individual

DR. ALICE GAYLE JENSEN-SAVOIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 THROCKMORTON ST APT 1904, FORT WORTH, TX 76102-6318
(214) 793-1947
Mailing address
1301 THROCKMORTON ST APT 1904, FORT WORTH, TX 76102-6318

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10559
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08906072
DRIVERS LICENSE
TX
Enumeration date
06/14/2018
Last updated
06/16/2018
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