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1780322875
CHANNELLE BASTARDO
DENTON, TX
NPI
1780322875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 107722)
Enumeration Date
2022-05-26
Last Update Date
2022-08-26
Business Address
CHANNELLE BASTARDO LCSW
2660 SCRIPTURE ST STE 210
DENTON, TX 76201-4343
Phone number: 940-315-7825
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Mailing Address
CHANNELLE BASTARDO LCSW
1440 CARROLLTON PKWY APT 23307
CARROLLTON, TX 75010-1378
Phone number:
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