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1588278667
MAGNOLIA DELOISE CAVANAUGH
AUSTIN, TX
NPI
1588278667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15384)
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
Ms. MAGNOLIA DELOISE CAVANAUGH LCDC
1165 AIRPORT BLVD
AUSTIN, TX 78702-3152
Phone number: 512-804-3517
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Mailing Address
Ms. MAGNOLIA DELOISE CAVANAUGH LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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