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Individual
MR. BRANT NUGENT
Active
Individual
MR. BRANT NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68839
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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