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1053686642
RON DEAGE
SAN ANTONIO, TX
NPI
1053686642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 11437)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
-- RON DEAGE M.A.,LPC,LCDC,LMFT
9681 W LOOP 1604 N
SAN ANTONIO, TX 78254-5303
Phone number: 210-688-9434
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Mailing Address
-- RON DEAGE M.A.,LPC,LCDC,LMFT
951 BRENT SPRINGS RD
SPRING BRANCH, TX 78070-4976
Phone number: 830-885-2060
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