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1689313769
KIM DIEFENTHALER TAYLER
AUSTIN, TX
NPI
1689313769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 82496)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
KIM DIEFENTHALER TAYLER MA, LPC, LCDC, CCTP
11706 BIRCHBARK TRL
AUSTIN, TX 78750-1341
Phone number: 949-680-6555
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Mailing Address
KIM DIEFENTHALER TAYLER MA, LPC, LCDC, CCTP
11706 BIRCHBARK TRL
AUSTIN, TX 78750-1341
Phone number: 949-680-6555
Copy
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