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Organization
TRAUMA DETOX PLLC
Active
Organization
TRAUMA DETOX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE WEST (MANAGING PARTNER)
(512) 796-5059
Entity
Organization
Contact information
Practice address
3613 WILLIAMS DR STE 1006, GEORGETOWN, TX 78628-1376
(512) 796-5059
Mailing address
3613 WILLIAMS DR STE 1006, GEORGETOWN, TX 78628-1376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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