CHARLES G WHITE

FORT WORTH, TX
NPI1942789748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  8261)
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
CHARLES G WHITE BS
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
Mailing Address
CHARLES G WHITE BS
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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