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1316414485
LUCILA STEPHANIE GREEN
AUSTIN, TX
NPI
1316414485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 75674)
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
LUCILA STEPHANIE GREEN
5015 S IH 35
AUSTIN, TX 78744-2713
Phone number: 512-804-3200
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Mailing Address
LUCILA STEPHANIE GREEN
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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