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1053435933
EZIO DA ROSA LEITE
FORT WORTH, TX
NPI
1053435933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 08674)
Enumeration Date
2007-03-18
Last Update Date
2023-05-24
Business Address
Mr. EZIO DA ROSA LEITE LPC
301 W ROSEDALE ST
FORT WORTH, TX 76104-4857
Phone number: 817-338-4471
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Mailing Address
Mr. EZIO DA ROSA LEITE LPC
301 W ROSEDALE ST
FORT WORTH, TX 76104-4857
Phone number: 817-338-4471
Copy
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