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1013153006
LARRYMI DANIELLE MATHIS
DALLAS, TX
NPI
1013153006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2008-12-23
Last Update Date
2023-08-08
Business Address
MS. LARRYMI DANIELLE MATHIS
3455 HIGHLAND RD # 101
DALLAS, TX 75228-7193
Phone number: 469-735-3395
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Mailing Address
MS. LARRYMI DANIELLE MATHIS
3455 HIGHLAND RD # 101
DALLAS, TX 75228-7193
Phone number: 469-735-3395
Copy
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