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1861969958
ANGELA NICOLE OLIVER
SOUTHLAKE, TX
NPI
1861969958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11123)
Enumeration Date
2018-10-27
Last Update Date
2018-10-27
Business Address
ANGELA NICOLE OLIVER LCDC
325 MIRON DR STE 110
SOUTHLAKE, TX 76092-7829
Phone number: 214-908-4941
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Mailing Address
ANGELA NICOLE OLIVER LCDC
325 MIRON DR STE 110
SOUTHLAKE, TX 76092-7829
Phone number: 214-908-4941
Copy
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