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1376272468
ALEXANDRIA D LICEA
WACO, TX
NPI
1376272468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 60219)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
ALEXANDRIA D LICEA LCSW
1325 N 63RD ST
WACO, TX 76710-4111
Phone number: 254-300-7591
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Mailing Address
ALEXANDRIA D LICEA LCSW
2115 STEPHENS PL STE 400A
NEW BRAUNFELS, TX 78130-2167
Phone number: 830-282-7980
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