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1861112971
SHANTRAIL KING
BELTON, TX
NPI
1861112971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 89641)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
SHANTRAIL KING LPC-A
600 CLIFF DRIVE
BELTON, TX 76513
Phone number: 254-450-2950
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Mailing Address
SHANTRAIL KING LPC-A
111 N WALL ST UNIT 1086
BELTON, TX 76513-0105
Phone number: 254-450-2950
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