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1730711813
CHANTEL MARIE BUCCAT LONGINO
TYLER, TX
NPI
1730711813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 55792)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
CHANTEL MARIE BUCCAT LONGINO LMSW
7925 S BROADWAY AVE STE 820
TYLER, TX 75703-5255
Phone number: 808-387-5531
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Mailing Address
CHANTEL MARIE BUCCAT LONGINO LMSW
3417 HARWOOD DR
TYLER, TX 75701-7649
Phone number:
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