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Individual

WILLIAM BERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDCI

Contact information

Practice address
4700 S RIVERSIDE DR, FORT WORTH, TX 76119-5523
(817) 369-8614
(817) 535-3855
Mailing address
4700 S RIVERSIDE DR, FORT WORTH, TX 76119-5523
(817) 369-8614
(817) 535-3855

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
TX

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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