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1073149332
CRYSTAL EVANS
WACO, TX
NPI
1073149332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13288)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
CRYSTAL EVANS LCDC
2220 AUSTIN AVE
WACO, TX 76701-1625
Phone number: 254-752-3451
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Mailing Address
CRYSTAL EVANS LCDC
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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