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1669238978
MAVERICK BENJAMIN EVANS
AMARILLO, TX
NPI
1669238978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 64910)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
Mr. MAVERICK BENJAMIN EVANS LCDC-I
1001 WALLACE BLVD
AMARILLO, TX 79106-1735
Phone number: 888-236-4567
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Mailing Address
Mr. MAVERICK BENJAMIN EVANS LCDC-I
1001 WALLACE BLVD
AMARILLO, TX 79106-1735
Phone number: 888-236-4567
Copy
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