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1932235934
SHANE DELOS SANTOS
BRYAN, TX
NPI
1932235934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 19890)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- SHANE DELOS SANTOS LPC
302 E 24TH ST
BRYAN, TX 77803-5303
Phone number: 979-822-6467
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Mailing Address
-- SHANE DELOS SANTOS LPC
1504 TEXAS AVE. P.O. BOX 4588
BRYAN, TX 77805-4588
Phone number: 979-822-6467
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