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1629609854
JACQUILYN NICOLE THOMPSON
SAN ANTONIO, TX
NPI
1629609854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14928)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
JACQUILYN NICOLE THOMPSON
19026 RIDGEWOOD PKWY STE 311
SAN ANTONIO, TX 78259-5502
Phone number: 833-210-4673
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Mailing Address
JACQUILYN NICOLE THOMPSON
19026 RIDGEWOOD PKWY STE 311
SAN ANTONIO, TX 78259-5502
Phone number: 833-210-4673
Copy
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