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1861140907
SANFORD KLUCHIN
AUSTIN, TX
NPI
1861140907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
SANFORD KLUCHIN
1110 W WILLIAM CANNON DR
AUSTIN, TX 78745-5468
Phone number: 281-787-3881
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Mailing Address
SANFORD KLUCHIN
1110 W WILLIAM CANNON DR
AUSTIN, TX 78745-5468
Phone number:
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