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1083386866
MELISSA DIANE WOLFDANE
SAN ANTONIO, TX
NPI
1083386866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15387)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
MELISSA DIANE WOLFDANE LCDC
1747 CITADEL PLZ STE 205
SAN ANTONIO, TX 78209-1017
Phone number: 210-251-6645
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Mailing Address
MELISSA DIANE WOLFDANE LCDC
1747 CITADEL PLZ STE 205
SAN ANTONIO, TX 78209-1017
Phone number:
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