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1386157790
MARK R DEHART
ARLINGTON, TX
NPI
1386157790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
MARK R DEHART LCDC
801 ROAD TO SIX FLAGS W STE 132
ARLINGTON, TX 76012-2600
Phone number: 817-795-3030
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Mailing Address
MARK R DEHART LCDC
3001A W 5TH ST
FORT WORTH, TX 76107-2206
Phone number: 817-338-0311
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