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1740866318
GRACE DIAZ
EL PASO, TX
NPI
1740866318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10420)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
Mrs. GRACE DIAZ LCDC
5004 ALAMEDA AVE
EL PASO, TX 79905-2804
Phone number: 915-772-2045
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Mailing Address
Mrs. GRACE DIAZ LCDC
5004 ALAMEDA AVE
EL PASO, TX 79905-2804
Phone number: 915-772-2045
Copy
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