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1578785663
MARY BASSETT COSTAS
FORT WORTH, TX
NPI
1578785663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 11965)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- MARY BASSETT COSTAS L.P.C.
3815 LISBON ST SUITE 202
FORT WORTH, TX 76107-5601
Phone number: 817-738-4660
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Mailing Address
-- MARY BASSETT COSTAS L.P.C.
3815 LISBON ST SUITE 202
FORT WORTH, TX 76107-5601
Phone number: 817-738-4660
Copy
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