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1912934217
TERESA LYNNE WYATT
DALLAS, TX
NPI
1912934217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX ILCDC 8755)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- TERESA LYNNE WYATT LCDC
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204-2050
Phone number: 214-520-6308
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Mailing Address
-- TERESA LYNNE WYATT LCDC
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204-2050
Phone number: 214-520-6308
Copy
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