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1396480836
WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
AUSTIN, TX
NPI
1396480836
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Entity Type
Organization
Authorized Contact
LY TRAN
Owner
512-651-3575
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
7000 N MOPAC EXPY STE 200
AUSTIN, TX 78731-3013
Phone number: 512-651-3575
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Mailing Address
WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
3600 SHIRE BLVD STE 208
RICHARDSON, TX 75082-2238
Phone number: 214-556-0996
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