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1285407882
JUSTIN JOHN BONTKE
DALLAS, TX
NPI
1285407882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 64221)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
JUSTIN JOHN BONTKE LCSW-S
5106 STONELEIGH AVE
DALLAS, TX 75235-8331
Phone number: 214-226-8616
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Mailing Address
JUSTIN JOHN BONTKE LCSW-S
5106 STONELEIGH AVE
DALLAS, TX 75235-8331
Phone number: 214-226-8616
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