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1336800663
SUSAN MELLON
ROUND ROCK, TX
NPI
1336800663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 204142)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
Mrs. SUSAN MELLON
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665-1592
Phone number: 512-862-0687
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Mailing Address
Mrs. SUSAN MELLON
8610 AXIS DR
AUSTIN, TX 78749-3736
Phone number: 512-529-8551
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