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Individual

JUSTIN GADDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
2120 MISTLETOE BLVD, FORT WORTH, TX 76110-1175
(817) 349-7646
Mailing address
300 COLLEGE AVE, FORT WORTH, TX 76104-1121
(502) 775-9063

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/02/2023
Last updated
04/01/2026
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