Individual
DUSTIN BASSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1668 KELLER PKWY, SUITE 100, KELLER, TX 76248-3702
(817) 243-4299
Mailing address
1668 KELLER PKWY, SUITE 100, KELLER, TX 76248-3702
(817) 243-4299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53535
TX
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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