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Individual

OLGA J VIDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3518 FM 973, DEL VALLE, TX 78617-3627
(512) 247-4746
(512) 247-2447
Mailing address
1309 MELISSA OAKS LN, AUSTIN, TX 78744-7965
(512) 636-9436

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17141
TX

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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