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1871060228
DUANE MELVIN HENDERSON
FORT WORTH, TX
NPI
1871060228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
MR. DUANE MELVIN HENDERSON
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
MR. DUANE MELVIN HENDERSON
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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