Provider Information for 1669881637
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RUTH OMOROWA MA, LPC
Sex: Female
NPI: 1669881637
Last Updated: 2024-01-04
Certification Date: 2024-01-04
Certification Date: 2024-01-04
Details
| Name | Value | ||||||||
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| NPI | 1669881637 | ||||||||
| Enumeration Date | 2014-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3057 GLAZNER DR FORNEY, TX 75126-3444 United States Phone: 214-680-3832 | Fax: | ||||||||
| Primary Practice Address | 3057 GLAZNER DR FORNEY, TX 75126-3444 United States Phone: 214-680-3832 | Fax: | ||||||||
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