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1821838517
ANGELA TAVA MIRANDA
SAN ANTONIO, TX
NPI
1821838517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
ANGELA TAVA MIRANDA JD, MD, LPC
7254 BLANCO RD STE 206
SAN ANTONIO, TX 78216-4930
Phone number: 512-256-3799
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Mailing Address
ANGELA TAVA MIRANDA JD, MD, LPC
9818 LANTANA DR
SAN ANTONIO, TX 78217-4521
Phone number: 210-259-3995
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