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Organization
MICHAEL KEITH DIBBLE JR., PLLC
Active
Organization
MICHAEL KEITH DIBBLE JR., PLLC
Active
Other names
Keith Dibble, LPC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KEITH DIBBLE JR. M.A. (PRESIDENT)
(214) 632-9242
Entity
Organization
Contact information
Practice address
4601 MATTHEW RD, GRAND PRAIRIE, TX 75052-1750
(469) 278-5901
Mailing address
4322 MATTHEW RD, GRAND PRAIRIE, TX 75052-1501
(214) 632-9242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62572
TX
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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