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1720245798
GENARO SANDOVAL
AUSTIN, TX
NPI
1720245798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10685)
Enumeration Date
2008-05-19
Last Update Date
2009-05-05
Business Address
Mr. GENARO SANDOVAL B.A., LCDC
7703 N LAMAR BLVD STE 104
AUSTIN, TX 78752-1003
Phone number: 512-659-3518
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Mailing Address
Mr. GENARO SANDOVAL B.A., LCDC
500 E STASSNEY LN APT 437
AUSTIN, TX 78745-3253
Phone number: 512-659-3518
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