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1215200548
CARMEN MOTA
BRYAN, TX
NPI
1215200548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65959)
Enumeration Date
2012-02-16
Last Update Date
2012-02-16
Business Address
-- CARMEN MOTA LPC
1504 S TEXAS AVE
BRYAN, TX 77802-1015
Phone number: 979-822-6467
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Mailing Address
-- CARMEN MOTA LPC
100 S BURLESON DR
BRYAN, TX 77802-1341
Phone number: 979-822-6467
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