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1679826374
REGINALD SHAWN ROBERTSON
DALLAS, TX
NPI
1679826374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 1375)
Enumeration Date
2012-10-18
Last Update Date
2025-01-19
Business Address
-- REGINALD SHAWN ROBERTSON LCDCI
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-927-4617
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Mailing Address
-- REGINALD SHAWN ROBERTSON LCDCI
1710 POST OAK DR
ROWLETT, TX 75089-7128
Phone number: 469-364-1082
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