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1205430774
CHARLA RAEANN KILLIAN
TYLER, TX
NPI
1205430774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 79596)
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
CHARLA RAEANN KILLIAN M.A., LPC
16075 OLD JACKSONVILLE
TYLER, TX 75762
Phone number: 903-521-3550
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Mailing Address
CHARLA RAEANN KILLIAN M.A., LPC
597 CIRCLE DR
BULLARD, TX 75757-5505
Phone number: 903-521-3550
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