BRANDON D SKIDMORE

DENTON, TX
NPI1255002572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  56623)
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
BRANDON D SKIDMORE LCDC-I
621 LONDONDERRY LN
DENTON, TX 76205-7792
Phone number: 940-483-0644
Mailing Address
BRANDON D SKIDMORE LCDC-I
621 LONDONDERRY LN
DENTON, TX 76205-7792
Phone number: 940-483-0644
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