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1912686825
COLIN MATTHEW SMALL
SAN ANTONIO, TX
NPI
1912686825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14921)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
COLIN MATTHEW SMALL
9939 TEXAS 151 ACCESS ROAD
SAN ANTONIO, TX 78251
Phone number: 210-706-7800
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Mailing Address
COLIN MATTHEW SMALL
13722 MEADOWICK DR
SAN ANTONIO, TX 78253-5131
Phone number: 757-373-5051
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