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1043414071
AMANDA BETH GROLLER
LEAGUE CITY, TX
NPI
1043414071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 61748)
Enumeration Date
2007-06-13
Last Update Date
2013-09-11
Business Address
-- AMANDA BETH GROLLER LPC
4444 W MAIN ST
LEAGUE CITY, TX 77573-1737
Phone number: 409-763-2373
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Mailing Address
-- AMANDA BETH GROLLER LPC
4444 W MAIN ST
LEAGUE CITY, TX 77573-1737
Phone number: 409-763-2373
Copy
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