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1538930870
JESSICA WALLINGSFORD
SAN ANTONIO, TX
NPI
1538930870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14754)
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
JESSICA WALLINGSFORD LCDC
3014 RIVAS ST
SAN ANTONIO, TX 78228-6222
Phone number: 210-268-5211
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Mailing Address
JESSICA WALLINGSFORD LCDC
249 LAKE RDG
HELOTES, TX 78023-2286
Phone number:
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