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1588917496
AMY SPACE
AUSTIN, TX
NPI
1588917496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 66918)
Enumeration Date
2012-10-17
Last Update Date
2012-10-23
Business Address
Ms. AMY SPACE M.S., L.P.C.
314 E HIGHLAND MALL BLVD STE 260.14
AUSTIN, TX 78752-3735
Phone number: 512-426-2145
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Mailing Address
Ms. AMY SPACE M.S., L.P.C.
8601 ANDERSON MILL RD
AUSTIN, TX 78729-4700
Phone number: 512-426-2145
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