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1275820896
CHE'VUN R LANE
AUSTIN, TX
NPI
1275820896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12014)
Enumeration Date
2011-07-03
Last Update Date
2021-01-26
Business Address
CHE'VUN R LANE LCDC
2025 GUADALUPE ST STE 260
AUSTIN, TX 78705-5642
Phone number: 218-645-0311
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Mailing Address
CHE'VUN R LANE LCDC
2025 GUADALUPE ST STE 260
AUSTIN, TX 78705-5642
Phone number: 281-645-0311
Copy
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