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Organization

ALICIA JENSEN INC

Active
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Organization

ALICIA JENSEN INC

Active
Other names
Creative Works Therapy Team
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALICIA JENSEN MOTR (PRESIDENT)
(210) 878-5091
Entity
Organization

Contact information

Practice address
27 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
(304) 645-1163
(304) 645-8045
Mailing address
346 DONALDSON AVE, SAN ANTONIO, TX 78201-4905
(210) 877-8509

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
WV

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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