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1871143065
LISA MARIE GONZALES
SAN ANTONIO, TX
NPI
1871143065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14502)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
LISA MARIE GONZALES LCDC
3701 W COMMERCE ST
SAN ANTONIO, TX 78207-3611
Phone number: 210-434-0531
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Mailing Address
LISA MARIE GONZALES LCDC
3701 W COMMERCE ST
SAN ANTONIO, TX 78207-3611
Phone number: 210-434-0531
Copy
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