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1295394419
WILLIE CHARLES BRANTLEY
HOUSTON, TX
NPI
1295394419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: TX 1011-0319)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
WILLIE CHARLES BRANTLEY Recovery Coach
3501 BREWSTER ST
HOUSTON, TX 77026-4446
Phone number: 512-293-2526
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Mailing Address
WILLIE CHARLES BRANTLEY Recovery Coach
10106 FONVILLE DR
HOUSTON, TX 77075-3304
Phone number: 832-858-3024
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