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1376046631
PHILLIP RYAN MITCHELL
DENTON, TX
NPI
1376046631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13346)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
PHILLIP RYAN MITCHELL MS, LCDC
121 N WOODROW LN STE 103
DENTON, TX 76205-6339
Phone number: 940-898-6202
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Mailing Address
PHILLIP RYAN MITCHELL MS, LCDC
PO BOX 448
DENTON, TX 76202-0448
Phone number:
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