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Individual

MARQUE DEMOND DEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1818 CORSICANA ST, DALLAS, TX 75201-6102
(214) 670-1143
Mailing address
4801 BRENTWOOD STAIR RD STE 404, FORT WORTH, TX 76103-1731
(817) 492-9383

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10736
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10736
COUNSELING
TX
Enumeration date
07/19/2022
Last updated
11/10/2025
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