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.
State
Texas
ZIP Code
80015-4268
Phone
(303) 901-3313

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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