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1780230136
DAVID HARDY BASS
FORT WORTH, TX
NPI
1780230136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 42755)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
DAVID HARDY BASS LCDC-I
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
DAVID HARDY BASS LCDC-I
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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