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1538806096
CLARISSA BREANNE SOURADA CANNON
GALVESTON, TX
NPI
1538806096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 82764)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
Ms. CLARISSA BREANNE SOURADA CANNON M.A., LPC,NCC
820 16TH ST
GALVESTON, TX 77550-4960
Phone number: 760-504-3099
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Mailing Address
Ms. CLARISSA BREANNE SOURADA CANNON M.A., LPC,NCC
820 16TH ST
GALVESTON, TX 77550-4960
Phone number: 760-504-3099
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