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Individual

JODI VICARS-NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(940) 536-3404
Mailing address
PO BOX 1221, DENTON, TX 76202-1221

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35700
TX

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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