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1316396682
CARISSA BROOKE GUNATHILAKA
LONGVIEW, TX
NPI
1316396682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 72933)
Enumeration Date
2016-06-08
Last Update Date
2016-07-25
Business Address
-- CARISSA BROOKE GUNATHILAKA LPC
701 E MARSHALL AVE SUITE 310
LONGVIEW, TX 75601-5659
Phone number: 903-234-9200
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Mailing Address
-- CARISSA BROOKE GUNATHILAKA LPC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number:
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