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1578246104
SHIARA LYNN MATULL
SAN ANTONIO, TX
NPI
1578246104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 16572)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
SHIARA LYNN MATULL LCDC
3615 CULEBRA RD
SAN ANTONIO, TX 78228-5914
Phone number: 210-314-6473
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Mailing Address
SHIARA LYNN MATULL LCDC
3615 CULEBRA RD
SAN ANTONIO, TX 78228-5914
Phone number: 210-314-6473
Copy
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