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1508927328
MICHAEL QUINTANILLA
SAN ANTONIO, TX
NPI
1508927328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 12515)
Enumeration Date
2006-12-13
Last Update Date
2007-07-09
Business Address
-- MICHAEL QUINTANILLA LPC
8511 BRIXTON ST
SAN ANTONIO, TX 78254-2406
Phone number: 210-846-4078
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Mailing Address
-- MICHAEL QUINTANILLA LPC
8511 BRIXTON ST
SAN ANTONIO, TX 78254-2406
Phone number: 210-846-4078
Copy
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