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1487362703
DEREK ATAUYO BASSEY
FORT WORTH, TX
NPI
1487362703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 83953)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
DEREK ATAUYO BASSEY LPC
3200 SANGUINET ST
FORT WORTH, TX 76107-5355
Phone number: 817-255-2670
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Mailing Address
DEREK ATAUYO BASSEY LPC
3200 SANGUINET ST
FORT WORTH, TX 76107-5355
Phone number: 817-255-2670
Copy
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