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1568927473
SHAWNA GAYLEN THERIOT
SAN ANTONIO, TX
NPI
1568927473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 37722)
Enumeration Date
2019-02-05
Last Update Date
2020-07-08
Business Address
Ms. SHAWNA GAYLEN THERIOT LCSW
12050 VANCE JACKSON RD STE 201
SAN ANTONIO, TX 78230-1183
Phone number: 281-620-3596
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Mailing Address
Ms. SHAWNA GAYLEN THERIOT LCSW
12050 VANCE JACKSON RD STE 201
SAN ANTONIO, TX 78230-1183
Phone number: 281-620-3596
Copy
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