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1407335821
MICHAEL G MCQUITTY
FORT WORTH, TX
NPI
1407335821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 839)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
MICHAEL G MCQUITTY BA
1518 E LANCASTER AVE
FORT WORTH, TX 76102-6774
Phone number: 817-335-3022
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Mailing Address
MICHAEL G MCQUITTY BA
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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