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1477148427
SAMUEL BRIAN CONERLY
COPPELL, TX
NPI
1477148427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77228)
Enumeration Date
2021-03-02
Last Update Date
2023-04-27
Business Address
SAMUEL BRIAN CONERLY
820 S MACARTHUR BLVD STE 105-160
COPPELL, TX 75019-4216
Phone number: 469-300-9793
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Mailing Address
SAMUEL BRIAN CONERLY
PO BOX 4154
DALLAS, TX 75208-0154
Phone number:
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