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1982447876
ABRAHAM HERIBERTO DIAZ
LAREDO, TX
NPI
1982447876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 16698)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
Mr. ABRAHAM HERIBERTO DIAZ LCDC
4502 MIMS AVE
LAREDO, TX 78041-3552
Phone number: 956-229-0780
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Mailing Address
Mr. ABRAHAM HERIBERTO DIAZ LCDC
4502 MIMS AVE
LAREDO, TX 78041-3552
Phone number: 956-229-0780
Copy
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