MRS. Mary Louise Fantle, LM&FT
NPI #1881904217 in Centennial, Texas
Provider Information
- NPI Number
- 1881904217
- Entity Type
- Individual
- Name
- MRS. Mary Louise Fantle, LM&FT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LM&FT
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Oct 19, 2010
Practice Location
- Address
- 15798 E. PRENTICE DR.
- City
- Centennial
- State
- Texas
- ZIP Code
- 80015-4268
- Phone
- (303) 901-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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