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1437605342
MELINDA KAY PETTIT
TYLER, TX
NPI
1437605342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12348)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- MELINDA KAY PETTIT
104 JORDAN PLAZA BLVD SUITE 402-403
TYLER, TX 75704-2055
Phone number: 903-581-9472
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Mailing Address
-- MELINDA KAY PETTIT
104 JORDAN PLAZA BLVD SUITE 402-403
TYLER, TX 75704-2055
Phone number: 903-581-9472
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