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1083052005
MARY DYBALA
FORT WORTH, TX
NPI
1083052005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX 6818)
Enumeration Date
2013-06-12
Last Update Date
2013-11-18
Business Address
MARY DYBALA LCDC
3840 HULEN ST HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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Mailing Address
MARY DYBALA LCDC
PO BOX 2603 HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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