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1548883135
SHANA MICHELLE FERRARA
TYLER, TX
NPI
1548883135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11487)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
Mrs. SHANA MICHELLE FERRARA LCDC
1510 S VINE AVE
TYLER, TX 75701-2826
Phone number: 903-526-4055
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Mailing Address
Mrs. SHANA MICHELLE FERRARA LCDC
182 COUNTY ROAD 1331
RUSK, TX 75785-3431
Phone number: 903-721-4602
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