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1821385071
KATHRYN L REVTYAK
EL PASO, TX
NPI
1821385071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 39461)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
Ms. KATHRYN L REVTYAK LCSW
905 NOBLE ST
EL PASO, TX 79902-4739
Phone number: 915-247-6679
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Mailing Address
Ms. KATHRYN L REVTYAK LCSW
905 NOBLE ST
EL PASO, TX 79902-4739
Phone number: 915-247-6679
Copy
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