Individual
ALLSION MAE STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PEACEFUL LN, CONVERSE, TX 78109-1007
(210) 248-9077
Mailing address
101 PEACEFUL LN, CONVERSE, TX 78109-1007
(210) 248-9077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63686
TX
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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