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1386083392
LESLIE MELLENBRUCH
BASTROP, TX
NPI
1386083392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 15878)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
Mrs. LESLIE MELLENBRUCH M.S., L.P.C.
944 HIGHWAY 71 E SUITE 110-1
BASTROP, TX 78602-5023
Phone number: 512-924-8555
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Mailing Address
Mrs. LESLIE MELLENBRUCH M.S., L.P.C.
PO BOX 1631
BASTROP, TX 78602-8631
Phone number: 512-924-8555
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