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1124850672
MATTHEW JASON WOMACK
SAN ANTONIO, TX
NPI
1124850672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 68117)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
MATTHEW JASON WOMACK LCDC-I
601 N FRIO ST BLDG 2
SAN ANTONIO, TX 78207-3011
Phone number: 210-261-3001
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Mailing Address
MATTHEW JASON WOMACK LCDC-I
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
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