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1083820070
MARY MARTHA VANCE
AUSTIN, TX
NPI
1083820070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 32564)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. MARY MARTHA VANCE PhD
100A W DEAN KEETON ST 1 UNIVERSITY STATION A3500
AUSTIN, TX 78712-1002
Phone number: 512-475-6938
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Mailing Address
Dr. MARY MARTHA VANCE PhD
11651 RIVER OAKS TRL
AUSTIN, TX 78753-2836
Phone number: 512-585-7317
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