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1346624830
KISSA UNDERWOOD
EL PASO, TX
NPI
1346624830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX LCDC 12944)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
-- KISSA UNDERWOOD LCDC
1900 WYOMING AVE SUITE B
EL PASO, TX 79903-3409
Phone number: 915-779-4527
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Mailing Address
-- KISSA UNDERWOOD LCDC
1900 WYOMING AVE SUITE B
EL PASO, TX 79903-3409
Phone number: 915-779-4527
Copy
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