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1750520110
SAMUEL M SALAS
SAN ANTONIO, TX
NPI
1750520110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 246)
Enumeration Date
2009-02-09
Last Update Date
2009-02-09
Business Address
-- SAMUEL M SALAS LCDC
306 S FLORES ST
SAN ANTONIO, TX 78204-1106
Phone number: 210-224-7714
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Mailing Address
-- SAMUEL M SALAS LCDC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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