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1225327703
TIMOTHY R SCRANTON
SAN ANTONIO, TX
NPI
1225327703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10553)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
-- TIMOTHY R SCRANTON LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-731-1300
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Mailing Address
-- TIMOTHY R SCRANTON LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-731-1300
Copy
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