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Individual

DAVID TRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, LPC

Contact information

Practice address
4201 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-6026
(817) 900-0376
Mailing address
417 LONESOME PRAIRIE TRL, HASLET, TX 76052-4190
(817) 301-3243

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74955
TX

Other

Enumeration date
11/12/2020
Last updated
11/12/2020
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