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1720694474
ANGELINE ROSE MILLER
AUSTIN, TX
NPI
1720694474
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Former Name
ANGELINE ROSE STIDHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 82790)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
ANGELINE ROSE MILLER LPC Intern
2208 E 14TH ST
AUSTIN, TX 78702-1306
Phone number: 512-655-9802
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Mailing Address
ANGELINE ROSE MILLER LPC Intern
11901 OAKWOOD DR
AUSTIN, TX 78753-2231
Phone number: 512-771-1529
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