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1942710165
MARK CRAWFORD SPACHT
AUSTIN, TX
NPI
1942710165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
MARK CRAWFORD SPACHT LCDC
812 W 11TH ST
AUSTIN, TX 78701-2053
Phone number: 512-477-9595
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Mailing Address
MARK CRAWFORD SPACHT LCDC
5400 HONEY DEW TER
AUSTIN, TX 78749-1254
Phone number: 512-981-9328
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