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1811725104
SANTIAGO AMPARAN
FORT CAVAZOS, TX
NPI
1811725104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 108028)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
SANTIAGO AMPARAN LCSW
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Phone number: 254-553-1001
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Mailing Address
SANTIAGO AMPARAN LCSW
3205 GRYFFINDOR LN
KILLEEN, TX 76549-7322
Phone number: 505-721-7877
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