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Organization
RELATIONSHIP RESOLUTIONS
Active
Organization
RELATIONSHIP RESOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS DARYL WHITTINGTON (PRACTICE MANAGER)
(469) 232-9596
Entity
Organization
Contact information
Practice address
5641 SMU BLVD, SUITE NUMBER 105, DALLAS, TX 75206-5078
(469) 232-9596
(469) 232-9597
Mailing address
5641 SMU BLVD, SUITE NUMBER 105, DALLAS, TX 75206-5078
(469) 232-9596
(469) 232-9597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15198
TX
101YP2500X
Professional Counselor
Primary
58655
TX
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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