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Individual

BRANDON D SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC-I

Contact information

Practice address
621 LONDONDERRY LN, DENTON, TX 76205-7792
(940) 483-0644
Mailing address
621 LONDONDERRY LN, DENTON, TX 76205-7792
(940) 483-0644

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
56623
TX

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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