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1699497115
LASTELLA SLACK-COLEY
SAN ANTONIO, TX
NPI
1699497115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-12
Last Update Date
2022-09-15
Business Address
LASTELLA SLACK-COLEY
227 N LOOP 1604 E STE 150
SAN ANTONIO, TX 78232-1450
Phone number: 210-761-3504
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Mailing Address
LASTELLA SLACK-COLEY
227 N LOOP 1604 E STE 150
SAN ANTONIO, TX 78232-1450
Phone number: 210-761-3504
Copy
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