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Individual

MS. MAILE T GILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LCDC

Contact information

Practice address
5108 BROADWAY, #226, SAN ANTONIO, TX 78209
(210) 860-7633
Mailing address
5108 BROADWAY, #226, SAN ANTONIO, TX 78209
(210) 860-7633

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11169
TX
106H00000X
Marriage & Family Therapist
Primary
201685
TX

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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