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1285994285
ALICIA MEDINA
TYLER, TX
NPI
1285994285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 66883)
Enumeration Date
2012-05-23
Last Update Date
2013-01-08
Business Address
-- ALICIA MEDINA
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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Mailing Address
-- ALICIA MEDINA
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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