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1154957595
AMANDA LARAINE VEGA
SAN ANTONIO, TX
NPI
1154957595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
Miss AMANDA LARAINE VEGA LPC Intern
7400 BLANCO RD
SAN ANTONIO, TX 78216-4360
Phone number: 210-446-8255
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Mailing Address
Miss AMANDA LARAINE VEGA LPC Intern
7400 BLANCO RD STE 250
SAN ANTONIO, TX 78216-4368
Phone number:
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