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1972101194
JERRITT WAYNE TODD
MCKINNEY, TX
NPI
1972101194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 80453)
Enumeration Date
2020-10-09
Last Update Date
2022-10-19
Business Address
JERRITT WAYNE TODD LPC
4801 MEDICAL CENTER DR
MCKINNEY, TX 75069-1881
Phone number: 469-714-0006
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Mailing Address
JERRITT WAYNE TODD LPC
2011 PALO ALTO DR
CARROLLTON, TX 75006-3111
Phone number: 214-549-8979
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