Individual
MRS. DIANE DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HEMPHILL ST, FORT WORTH, TX 76104-3105
(817) 334-0111
(817) 334-0249
Mailing address
700 HEMPHILL ST, FORT WORTH, TX 76104-3105
(817) 334-0111
(817) 334-0249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
42090
TX
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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