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1033752589
LELAND BERRY WALL
HOUSTON, TX
NPI
1033752589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 3948)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
LELAND BERRY WALL LCDC
12301 MAIN ST
HOUSTON, TX 77035-6207
Phone number: 713-275-5320
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Mailing Address
LELAND BERRY WALL LCDC
12301 MAIN ST
HOUSTON, TX 77035-6207
Phone number: 713-275-5320
Copy
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