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1114547411
BENITO LUGO
MANSFIELD, TX
NPI
1114547411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 28451395)
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
BENITO LUGO LCDC
6960 DICK PRICE ROAD
MANSFIELD, TX 76063
Phone number: 817-953-8711
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Mailing Address
BENITO LUGO LCDC
6960 DICK PRICE ROAD
MANSFIELD, TX 76063
Phone number: 817-953-8711
Copy
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