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1669619409
MARNEY WAYNE DEFOORE
SAN ANTONIO, TX
NPI
1669619409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 37462)
Enumeration Date
2009-01-15
Last Update Date
2016-10-13
Business Address
Mr. MARNEY WAYNE DEFOORE LCSW
4203 WOODCOCK DRIVE SUITE 202
SAN ANTONIO, TX 78228-1312
Phone number: 210-883-7877
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Mailing Address
Mr. MARNEY WAYNE DEFOORE LCSW
4203 WOODCOCK DR SUITE 202
SAN ANTONIO, TX 78228-1312
Phone number: 210-883-7877
Copy
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