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Individual

ANGELICA MARIANA GUZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2008 NW MILITARY HWY STE 1, SAN ANTONIO, TX 78213-2130
(210) 875-1589
Mailing address
3738 BROWNING BLF, SAN ANTONIO, TX 78245-2369
(210) 875-1589

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68325
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330160802
TX
Enumeration date
07/09/2012
Last updated
03/16/2020
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