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1255635967
JORDAN LEWIS WIEDERSTEIN
SAN ANTONIO, TX
NPI
1255635967
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Former Name
JORDAN LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 64300)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
-- JORDAN LEWIS WIEDERSTEIN LPC
1506 BEXAR CROSSING ST
SAN ANTONIO, TX 78232-1587
Phone number: 210-208-5633
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Mailing Address
-- JORDAN LEWIS WIEDERSTEIN LPC
1506 BEXAR CROSSING ST
SAN ANTONIO, TX 78232-1587
Phone number: 210-208-5633
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