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1720442817
SHERROD ELLIS
ARLINGTON, TX
NPI
1720442817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 22702)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- SHERROD ELLIS
1506 W PIONEER PKWY
ARLINGTON, TX 76013-6230
Phone number: 817-371-2593
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Mailing Address
-- SHERROD ELLIS
1506 W PIONEER PKWY
ARLINGTON, TX 76013-6230
Phone number: 817-371-2593
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