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1154539187
MELODY ROSE SHADDOX
SAN ANTONIO, TX
NPI
1154539187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 18004)
Enumeration Date
2007-05-21
Last Update Date
2007-07-09
Business Address
-- MELODY ROSE SHADDOX LPC
6838 SPRING ROSE ST
SAN ANTONIO, TX 78249-2945
Phone number: 210-347-7034
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Mailing Address
-- MELODY ROSE SHADDOX LPC
6838 SPRING ROSE ST
SAN ANTONIO, TX 78249-2945
Phone number: 210-347-7034
Copy
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