Individual
EHIBOR PRECIOUS OGOGBANZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 S MALCOLM X BLVD, DALLAS, TX 75226-2101
(214) 774-9700
Mailing address
1610 S MALCOLM X BLVD, DALLAS, TX 75226-2101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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