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1518636653
CECIAL GANN
SOUTHLAKE, TX
NPI
1518636653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 83274)
Enumeration Date
2021-09-11
Last Update Date
2021-09-11
Business Address
Mr. CECIAL GANN MA, LPCA
185 S KIMBALL AVE
SOUTHLAKE, TX 76092-1523
Phone number: 817-756-1440
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Mailing Address
Mr. CECIAL GANN MA, LPCA
11616 CEDAR GRV
ROANOKE, TX 76262-1867
Phone number: 214-263-7698
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