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1578237277
JORDON AVERY STANFORD
AUSTIN, TX
NPI
1578237277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 203993)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
JORDON AVERY STANFORD LMFT-A
2911 MEDICAL ARTS ST STE 19A
AUSTIN, TX 78705-3329
Phone number: 737-216-2384
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Mailing Address
JORDON AVERY STANFORD LMFT-A
6309 CAPRIOLA DR
AUSTIN, TX 78745-3715
Phone number: 435-669-0568
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