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1194552612
SIMON TERRY CROSS
MIDLAND, TX
NPI
1194552612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 61202)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
Mr. SIMON TERRY CROSS LCDCi
200 CORPORATE DR
MIDLAND, TX 79705-4621
Phone number: 432-618-0028
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Mailing Address
Mr. SIMON TERRY CROSS LCDCi
501 STAGHORN DR
ODESSA, TX 79765-2595
Phone number: 432-813-9983
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