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1790174852
DANE DECIERO
AUSTIN, TX
NPI
1790174852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 55489)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
DANE DECIERO
8509 FM 969, BUILDING 627 C/O KIPP AUSTIN COLLEGE PREP
AUSTIN, TX 78724
Phone number: 512-673-6102
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Mailing Address
DANE DECIERO
8509 FM 969, BUILDING 627 C/O KIPP AUSTIN COLLEGE PREP
AUSTIN, TX 78724
Phone number: 512-673-6102
Copy
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