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1114066321
DEREK LANE ROBERTSON
FORT WORTH, TX
NPI
1114066321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 14021)
Enumeration Date
2007-02-05
Last Update Date
2009-10-13
Business Address
Mr. DEREK LANE ROBERTSON M. Ed., LPC
516 COLLEGE AVE
FORT WORTH, TX 76104-2238
Phone number: 806-543-6585
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Mailing Address
Mr. DEREK LANE ROBERTSON M. Ed., LPC
2420 S ADAMS ST
FORT WORTH, TX 76110-2609
Phone number: 806-543-6585
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