CLYDE A KEEBAUGH

SAN ANTONIO, TX
NPI1790232916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  7422)
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
CLYDE A KEEBAUGH LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
Mailing Address
CLYDE A KEEBAUGH LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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