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1740990357
JACEL MARIE CALICO
DALLAS, TX
NPI
1740990357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11141)
Enumeration Date
2022-12-05
Last Update Date
2024-02-08
Business Address
JACEL MARIE CALICO
1818 CORSICANA ST
DALLAS, TX 75201-6102
Phone number: 214-743-1200
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Mailing Address
JACEL MARIE CALICO
1818 CORSICANA ST
DALLAS, TX 75201-6102
Phone number:
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