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Individual

MS. JOANNE MADELINE FABRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1824 POST OAK LN, CARROLLTON, TX 75007-5218
(214) 535-8422
Mailing address
1824 POST OAK LN, CARROLLTON, TX 75007-5218
(214) 535-8422

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
18101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18101
LICENSED PRACTICING COUNSELOR
TX
Enumeration date
04/27/2009
Last updated
04/27/2009
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