Individual
DAPHANEE S HARBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14285 FAA BLVD APT 4213, FORT WORTH, TX 76155-2660
(817) 703-1557
Mailing address
14285 FAA BLVD APT 4213, FORT WORTH, TX 76155-2660
(817) 703-1557
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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