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1366222937
MARY JANE GILES
LEAGUE CITY, TX
NPI
1366222937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14479)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
MARY JANE GILES LCDC
4444 W MAIN ST
LEAGUE CITY, TX 77573-1737
Phone number: 409-763-2373
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Mailing Address
MARY JANE GILES LCDC
4444 W MAIN ST
LEAGUE CITY, TX 77573-1737
Phone number: 409-763-2373
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