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1104578830
MARY KAY MOORE
AUSTIN, TX
NPI
1104578830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 87741)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
MARY KAY MOORE LPC-A
1504 WOOD ACRE LN
AUSTIN, TX 78733-2157
Phone number: 512-636-0888
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Mailing Address
MARY KAY MOORE LPC-A
1500 VILLAGE WEST DR # 69
AUSTIN, TX 78733-1977
Phone number: 512-636-0888
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