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1306293881
PAUL PHILLIPS
TYLER, TX
NPI
1306293881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11128)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- PAUL PHILLIPS LCDC
104 JORDAN PLAZA BLVD STE 402-403
TYLER, TX 75704-2055
Phone number: 903-581-9472
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Mailing Address
-- PAUL PHILLIPS LCDC
104 JORDAN PLAZA BLVD STE 402-403
TYLER, TX 75704-2055
Phone number: 903-581-9472
Copy
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