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1720815491
LARISSA LYNN GUTIERREZ
SAN ANTONIO, TX
NPI
1720815491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 84988)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
LARISSA LYNN GUTIERREZ M.S.
20838 BLANCO RD APT 3203
SAN ANTONIO, TX 78260-1551
Phone number: 210-310-6776
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Mailing Address
LARISSA LYNN GUTIERREZ M.S.
20838 BLANCO RD APT 3203
SAN ANTONIO, TX 78260-1551
Phone number: 210-310-6776
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