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1326612003
EDEN CHARISSE MALES
AUSTIN, TX
NPI
1326612003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 56530)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
Mrs. EDEN CHARISSE MALES LCSW-S
13740 RESEARCH BLVD STE N7
AUSTIN, TX 78750-1834
Phone number: 512-333-4650
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Mailing Address
Mrs. EDEN CHARISSE MALES LCSW-S
1903 OWENS LN
LAGO VISTA, TX 78645-2006
Phone number: 512-652-8401
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