Provider First Line Business Practice Location Address:
2601 WEST AVENUE N
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY, HHS 318P
Provider Business Practice Location Address City Name:
SAN ANGELO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-486-6881
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2006