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1235896580
DONNA JEANNE VIDALES
AUSTIN, TX
NPI
1235896580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 14641)
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
DONNA JEANNE VIDALES
14508 OWEN TECH BLVD APT 316
AUSTIN, TX 78728-0007
Phone number: 361-648-5280
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Mailing Address
DONNA JEANNE VIDALES
14508 OWEN TECH BLVD APT 316
AUSTIN, TX 78728-0007
Phone number: 361-648-5280
Copy
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