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Individual

TAMARA L OLIVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, M.ED.

Contact information

Practice address
219 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 234-7174
Mailing address
117 S TYLER ST, SAN ANGELO, TX 76901-3935
(325) 655-7969
(325) 655-7976

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19529
TX

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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