MARY LANE MICKENS

TEXARKANA, TX
NPI1265594345
Professional NameMARY SMITH MICKENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  19530)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
Mrs. MARY LANE MICKENS
5221 N PARK RD
TEXARKANA, TX 75503-2664
Phone number: 903-791-1051
Mailing Address
Mrs. MARY LANE MICKENS
30 SHERRY RDG
TEXARKANA, TX 75501-2040
Phone number: 903-277-4887
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