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1871097634
CLETIS HUBBARD
FORT WORTH, TX
NPI
1871097634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
CLETIS HUBBARD
6733 CAMP BOWIE BLVD
FORT WORTH, TX 76116-7112
Phone number: 817-386-9180
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Mailing Address
CLETIS HUBBARD
55 BEATTIE PL STE 810
GREENVILLE, SC 29601-2191
Phone number:
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