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1003246802
STAR LYNN GENERA
RICHARDSON, TX
NPI
1003246802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10119)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- STAR LYNN GENERA LCDC
1719 ANALOG DR
RICHARDSON, TX 75081-1944
Phone number: 214-812-9802
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Mailing Address
-- STAR LYNN GENERA LCDC
622 ASBURY PARK
GARLAND, TX 75043-5403
Phone number: 214-881-8118
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