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1063896488
RITA LACE MOON
AUSTIN, TX
NPI
1063896488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 56568)
Enumeration Date
2015-07-15
Last Update Date
2021-02-24
Business Address
RITA LACE MOON
13740 RESEARCH BLVD STE B2
AUSTIN, TX 78750-1859
Phone number: 512-565-4433
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Mailing Address
RITA LACE MOON
13740 RESEARCH BLVD STE B2
AUSTIN, TX 78750-1859
Phone number: 512-565-4433
Copy
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