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1376296939
PHILIP JOHN CHIFULIO
LONGVIEW, TX
NPI
1376296939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX 14477)
Enumeration Date
2022-02-02
Last Update Date
2024-02-06
Business Address
PHILIP JOHN CHIFULIO LCDC
425 N FREDONIA ST
LONGVIEW, TX 75601-6464
Phone number: 903-758-2610
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Mailing Address
PHILIP JOHN CHIFULIO LCDC
1107 E MARSHALL AVE
LONGVIEW, TX 75601-5602
Phone number: 903-758-2610
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