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1770238511
ALYSSA SLACK
BRYAN, TX
NPI
1770238511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 86421)
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
ALYSSA SLACK
1401 SANDIA PLZ
BRYAN, TX 77802-4356
Phone number: 979-217-1378
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Mailing Address
ALYSSA SLACK
1401 SANDIA PLZ
BRYAN, TX 77802-4356
Phone number:
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