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1962901108
KEVIN LEE MIMMS
FRISCO, TX
NPI
1962901108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 202849)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
Mr. KEVIN LEE MIMMS MS, LMFT Associate
8641 5TH ST STE W6
FRISCO, TX 75034-4290
Phone number: 972-741-1038
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Mailing Address
Mr. KEVIN LEE MIMMS MS, LMFT Associate
8440 WILLOW CREEK DR
FRISCO, TX 75034-5525
Phone number: 972-741-1038
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