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1366053563
SELENA E COBURN
AUSTIN, TX
NPI
1366053563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 11902-MH-CC)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
SELENA E COBURN
4424 GAINES RANCH LOOP APT 1434
AUSTIN, TX 78735-6540
Phone number: 406-781-7251
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Mailing Address
SELENA E COBURN
4424 GAINES RANCH LOOP APT 1434
AUSTIN, TX 78735-6540
Phone number: 406-781-7251
Copy
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