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1588206189
ANDREW LANE
AUSTIN, TX
NPI
1588206189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 77712)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
ANDREW LANE
6609 MANCHACA RD
AUSTIN, TX 78745-4934
Phone number: 512-387-7178
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Mailing Address
ANDREW LANE
6609 MANCHACA RD
AUSTIN, TX 78745-4934
Phone number:
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