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1588213854
MICHAEL HOUSEHOLDER
DALLAS, TX
NPI
1588213854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12987)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
MICHAEL HOUSEHOLDER LCDC
2010 AL LIPSCOMB WAY
DALLAS, TX 75215-2773
Phone number: 469-516-4472
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Mailing Address
MICHAEL HOUSEHOLDER LCDC
2010 AL LIPSCOMB WAY
DALLAS, TX 75215-2773
Phone number: 469-516-4472
Copy
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