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1760751366
TIMOTHY I MING
TYLER, TX
NPI
1760751366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10244)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
-- TIMOTHY I MING LCDC
3320 TROUP HWY SUITE 285
TYLER, TX 75701-8395
Phone number: 903-581-9472
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Mailing Address
-- TIMOTHY I MING LCDC
PO BOX 6800
LONGVIEW, TX 75608-6800
Phone number: 903-758-2471
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