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1861767477
MAXINE WILBORN
SAN ANTONIO, TX
NPI
1861767477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 96928)
Enumeration Date
2012-03-14
Last Update Date
2024-10-24
Business Address
MAXINE WILBORN LPC, PhD
1603 BABCOCK RD STE 238-5
SAN ANTONIO, TX 78229-4708
Phone number: 408-656-2355
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Mailing Address
MAXINE WILBORN LPC, PhD
221 HICKORY RUN
LA VERNIA, TX 78121-5852
Phone number: 210-262-2861
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