DEREN ROBERT GREEN

SAN ANTONIO, TX
NPI1194374215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  12145)
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
DEREN ROBERT GREEN
1401 DEZARAE LOT #3
SAN ANTONIO, TX 78253
Phone number: 210-875-1437
Mailing Address
DEREN ROBERT GREEN
1401 DEZARAE LOT #3
SAN ANTONIO, TX 78253
Phone number: 210-875-1437
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