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Individual

DAVID MATTHEW TEDONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63797
TX

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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