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1518516111
TRACY DAWN FAZZONE
SAN ANTONIO, TX
NPI
1518516111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 74588)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
Mrs. TRACY DAWN FAZZONE M.A., LPC, RPT
1302 W BLANCO RD
SAN ANTONIO, TX 78232-1014
Phone number: 210-861-3161
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Mailing Address
Mrs. TRACY DAWN FAZZONE M.A., LPC, RPT
1830 FAWN BLF
SAN ANTONIO, TX 78248-1579
Phone number: 210-861-3161
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