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Individual

DORTHA WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
3001A W 5TH ST, FORT WORTH, TX 76107-2206
(817) 338-0311
(817) 332-9075
Mailing address
3001A W 5TH ST, FORT WORTH, TX 76107-2206
(817) 338-0311
(817) 332-9075

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11584
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11584
TEXAS DEPT OF STATE HEALTH SERVICES
TX
Enumeration date
11/07/2017
Last updated
11/07/2017
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