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1457823734
CLINTON R GHOLSON
CANYON LAKE, TX
NPI
1457823734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77796)
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
CLINTON R GHOLSON LPC
650 SCARBOUROUGH
CANYON LAKE, TX 78133-4529
Phone number: 830-964-4390
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Mailing Address
CLINTON R GHOLSON LPC
5447 HAWK EYE DR
BULVERDE, TX 78163-2255
Phone number: 210-392-9520
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