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1366860975
ANNE DESLOGE
AUSTIN, TX
NPI
1366860975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 58373)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- ANNE DESLOGE
4312 MARATHON BLVD
AUSTIN, TX 78756-3427
Phone number: 512-773-8040
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Mailing Address
-- ANNE DESLOGE
4312 MARATHON BLVD
AUSTIN, TX 78756-3427
Phone number:
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