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Organization

TRANSFORMATIONS MENDING FENCES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS HASSON (DIRECTOR OF BILLING)
(561) 237-5306
Entity
Organization

Contact information

Practice address
15530 W HIGHWAY 326, MORRISTON, FL 32668-7311
(561) 501-5260
(954) 982-6648
Mailing address
PO BOX 733932, DALLAS, TX 75373-3932
(954) 982-6648

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/03/2021
Last updated
03/08/2022
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