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1891990057
MICHELE D MASTICK
FORT WORTH, TX
NPI
1891990057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 15010)
Enumeration Date
2007-06-18
Last Update Date
2007-08-09
Business Address
-- MICHELE D MASTICK LPC
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-3878
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Mailing Address
-- MICHELE D MASTICK LPC
801 7TH AVE REVENUE MANAGEMENT
FORT WORTH, TX 76104-2733
Phone number: 682-885-4157
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