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1093175317
LYDIA CLEMMONS
AUSTIN, TX
NPI
1093175317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9666)
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
-- LYDIA CLEMMONS lCDC
7517 CAMERON RD STE 118
AUSTIN, TX 78752-2053
Phone number: 512-358-4088
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Mailing Address
-- LYDIA CLEMMONS lCDC
7517 CAMERON RD STE 118
AUSTIN, TX 78752-2053
Phone number: 512-358-4088
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