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1114125127
BILL JACK DAVIS
CONROE, TX
NPI
1114125127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TX 11269)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
MR. BILL JACK DAVIS M.A
420 W LEWIS ST
CONROE, TX 77301-2568
Phone number: 936-441-8255
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Mailing Address
MR. BILL JACK DAVIS M.A
420 W LEWIS ST
CONROE, TX 77301-2568
Phone number: 936-441-8255
Copy
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