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1700378999
ANDREW CHRISTOPHER SHANKS
AUSTIN, TX
NPI
1700378999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14662)
Enumeration Date
2018-06-04
Last Update Date
2019-08-05
Business Address
ANDREW CHRISTOPHER SHANKS LCDC
2132 ANTONE ST
AUSTIN, TX 78723
Phone number: 512-650-0874
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Mailing Address
ANDREW CHRISTOPHER SHANKS LCDC
2132 ANTONE ST
AUSTIN, TX 78723-5460
Phone number: 512-650-0874
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