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1235887043
TYNISHA BROOKS
TYLER, TX
NPI
1235887043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12498)
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
TYNISHA BROOKS LCDC
1827 W GENTRY PKWY
TYLER, TX 75702-3929
Phone number: 903-630-7464
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Mailing Address
TYNISHA BROOKS LCDC
19957 CHANNEL VIEW DR
FLINT, TX 75762-9290
Phone number: 323-326-3266
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