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1639562812
SHAYNE DOUGLASS WADE
SAN ANTONIO, TX
NPI
1639562812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 202043)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
SHAYNE DOUGLASS WADE LMFTA
18315 BRACKEN DR STE 4
SAN ANTONIO, TX 78266-2953
Phone number: 210-646-4658
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Mailing Address
SHAYNE DOUGLASS WADE LMFTA
18315 BRACKEN DR STE 4
SAN ANTONIO, TX 78266-2953
Phone number: 210-646-4658
Copy
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