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1114266251
DEMARISH N WYLLIE
SUGAR LAND, TX
NPI
1114266251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11963)
Enumeration Date
2013-02-09
Last Update Date
2021-07-04
Business Address
Mr. DEMARISH N WYLLIE LCDC, CART
77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND, TX 77478-3688
Phone number: 832-441-5124
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Mailing Address
Mr. DEMARISH N WYLLIE LCDC, CART
77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND, TX 77478-3688
Phone number: 832-441-5124
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