MARY MELLENCAMP

GEORGETOWN, TX
NPI1295394088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  114667)
Enumeration Date2019-06-06
Last Update Date2023-11-27
Business Address
MARY MELLENCAMP
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628-1388
Phone number: 832-655-3754
Mailing Address
MARY MELLENCAMP
1500 CULLEN AVE
AUSTIN, TX 78757-2529
Phone number: 832-655-3754
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