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1033429105
STACEY ANN JUSTUS
SAN ANTONIO, TX
NPI
1033429105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9779)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- STACEY ANN JUSTUS LCDC
3031 IH 10 W
SAN ANTONIO, TX 78201-5159
Phone number: 210-731-1300
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Mailing Address
-- STACEY ANN JUSTUS LCDC
3031 IH 10 W
SAN ANTONIO, TX 78201-5159
Phone number: 210-731-1300
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