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1740909621
CHARLES M-INIM
PLANO, TX
NPI
1740909621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 89609)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
CHARLES M-INIM LPC-A
720 E PARK BLVD
PLANO, TX 75074-5450
Phone number: 469-342-3468
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Mailing Address
CHARLES M-INIM LPC-A
720 E PARK BLVD
PLANO, TX 75074-5450
Phone number:
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