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1588327522
MELANIE MARIE BUSH
SAN ANTONIO, TX
NPI
1588327522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 55106)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
MELANIE MARIE BUSH LCDC-I
571 SPENCER LN
SAN ANTONIO, TX 78201-2030
Phone number: 210-736-4405
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Mailing Address
MELANIE MARIE BUSH LCDC-I
10312 FLATLAND TRL
CONVERSE, TX 78109-1665
Phone number: 210-724-8047
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