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1043222847
DAVID W IVES
WACO, TX
NPI
1043222847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 3294)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mr. DAVID W IVES L.C.D.C.
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-297-3301
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Mailing Address
Mr. DAVID W IVES L.C.D.C.
721 HIGHLAND PARK WAY
CHINA SPRING, TX 76633-4561
Phone number: 254-749-3935
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