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1710227624
CHARLES RICHARD SEABERG
FORT WORTH, TX
NPI
1710227624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 3251)
Enumeration Date
2013-03-01
Last Update Date
2013-03-01
Business Address
-- CHARLES RICHARD SEABERG LCDC
111 NW 24TH ST
FORT WORTH, TX 76164-8544
Phone number: 817-626-6401
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Mailing Address
-- CHARLES RICHARD SEABERG LCDC
5704 HAVANA DR
NORTH RICHLAND HILLS, TX 76180-6120
Phone number: 817-929-2936
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