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Individual

CHLOE GUILLORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LCDC, COTA/L

Contact information

Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(844) 309-6385
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16251
TX
104100000X
Social Worker
110024
TX
224Z00000X
Occupational Therapy Assistant
215337
TX

Other

Enumeration date
09/19/2018
Last updated
10/18/2024
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