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1083608988
THERESA M BURBANK
CONROE, TX
NPI
1083608988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 15294)
Enumeration Date
2005-09-07
Last Update Date
2010-03-11
Business Address
Ms. THERESA M BURBANK MA LPC
112 WEST PAULINE
CONROE, TX 77301
Phone number: 936-760-1880
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Mailing Address
Ms. THERESA M BURBANK MA LPC
112 WEST PAULINE
CONROE, TX 77301
Phone number: 936-760-1880
Copy
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