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1013332717
JOSE MATIAS SANTOS
PROSPER, TX
NPI
1013332717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 69085)
Enumeration Date
2014-03-04
Last Update Date
2019-05-29
Business Address
JOSE MATIAS SANTOS L.P.C.
212 E BROADWAY ST
PROSPER, TX 75078-2935
Phone number: 214-764-6333
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Mailing Address
JOSE MATIAS SANTOS L.P.C.
212 E BROADWAY ST
PROSPER, TX 75078-2935
Phone number: 214-764-6333
Copy
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