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1700584497
GUSTAVO ALEXIS MURILLO
FORNEY, TX
NPI
1700584497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 16302)
Enumeration Date
2023-02-21
Last Update Date
2024-06-18
Business Address
GUSTAVO ALEXIS MURILLO PsyD, MS, LCDC
1245 DELMITA DR
FORNEY, TX 75126-3560
Phone number: 469-618-1189
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Mailing Address
GUSTAVO ALEXIS MURILLO PsyD, MS, LCDC
1245 DELMITA DR
FORNEY, TX 75126-3560
Phone number:
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