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Individual
MR. MAC ENROE MCQUADE
Active
Individual
MR. MAC ENROE MCQUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8649
TX
101YM0800X
Mental Health Counselor
59576
TX
101YP2500X
Professional Counselor
Primary
59576
TX
Other
Enumeration date
02/14/2007
Last updated
09/06/2007
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