Individual
MECHELL GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 LAYLA RD, ARLINGTON, TX 76016-5429
(817) 504-3088
Mailing address
4701 LAYLA RD, ARLINGTON, TX 76016-5429
(817) 504-3088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68500
TX
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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