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1174852065
TELISA L CLEVENGER-SMITH
AUSTIN, TX
NPI
1174852065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 201468)
Enumeration Date
2009-12-24
Last Update Date
2009-12-24
Business Address
-- TELISA L CLEVENGER-SMITH LMFTA
4534 WESTGATE BLVD SUITE 112
AUSTIN, TX 78745-1485
Phone number: 512-963-7404
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Mailing Address
-- TELISA L CLEVENGER-SMITH LMFTA
4534 WESTGATE BLVD SUITE 112
AUSTIN, TX 78745-1485
Phone number: 512-963-7404
Copy
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