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1063070209
SUSAN MICHELE WHITAKER
TYLER, TX
NPI
1063070209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
SUSAN MICHELE WHITAKER LCDC Intern
THE BEGINNING 114 JORDAN PLAZA BLVD SUITE 302
TYLER, TX 75704
Phone number: 903-581-9472
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Mailing Address
SUSAN MICHELE WHITAKER LCDC Intern
114 JORDAN PLAZA BLVD STE 302
TYLER, TX 75704-2056
Phone number:
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