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1043751787
AMY SUZANNE OTA
ROUND ROCK, TX
NPI
1043751787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 72064)
Enumeration Date
2017-03-14
Last Update Date
2019-03-22
Business Address
AMY SUZANNE OTA LPC
595 ROUND ROCK WEST DR STE 104
ROUND ROCK, TX 78681-5028
Phone number: 512-815-3723
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Mailing Address
AMY SUZANNE OTA LPC
8026 WHITWORTH LN
ROUND ROCK, TX 78681-3416
Phone number: 512-944-2751
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