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1992271886
ALICE MEDINA
SAN ANTONIO, TX
NPI
1992271886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX 14074)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
ALICE MEDINA LCDC
1852 LOCKHILL SELMA RD STE 108
SAN ANTONIO, TX 78213-1500
Phone number: 210-271-7411
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Mailing Address
ALICE MEDINA LCDC
5134 GWENDA LEA ST
SAN ANTONIO, TX 78242-2416
Phone number: 210-955-3796
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