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1013501337
PHYLLIS ANN POWELL
CROWLEY, TX
NPI
1013501337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10630)
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
PHYLLIS ANN POWELL
140 LINCOLN LN
CROWLEY, TX 76036-4014
Phone number: 817-266-2227
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Mailing Address
PHYLLIS ANN POWELL
140 LINCOLN LN
CROWLEY, TX 76036-4014
Phone number: 817-266-2227
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