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1255002572
BRANDON D SKIDMORE
DENTON, TX
NPI
1255002572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 56623)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
BRANDON D SKIDMORE LCDC-I
621 LONDONDERRY LN
DENTON, TX 76205-7792
Phone number: 940-483-0644
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Mailing Address
BRANDON D SKIDMORE LCDC-I
621 LONDONDERRY LN
DENTON, TX 76205-7792
Phone number: 940-483-0644
Copy
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