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1295904340
SUSAN M DENEVAN
GRANBURY, TX
NPI
1295904340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10247)
Enumeration Date
2008-02-22
Last Update Date
2008-02-22
Business Address
-- SUSAN M DENEVAN LCDC
2111 W HWY 377
GRANBURY, TX 76048-5627
Phone number: 817-573-6002
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Mailing Address
-- SUSAN M DENEVAN LCDC
2111 W HWY 377
GRANBURY, TX 76048-5627
Phone number: 817-573-6002
Copy
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