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1255971735
MADONNA LAND
LEAGUE CITY, TX
NPI
1255971735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 79806)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
MADONNA LAND LPC
2205 W WALKER ST APT 1209
LEAGUE CITY, TX 77573-6888
Phone number: 281-222-7115
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Mailing Address
MADONNA LAND LPC
2205 W WALKER ST APT 1209
LEAGUE CITY, TX 77573-6888
Phone number: 281-222-7115
Copy
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