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1417208612
JENNA A MACK
SOUTHLAKE, TX
NPI
1417208612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 66288)
Enumeration Date
2012-09-27
Last Update Date
2015-10-15
Business Address
Mrs. JENNA A MACK M.Ed, LPC
1207 S WHITE CHAPEL BLVD STE 105
SOUTHLAKE, TX 76092-9315
Phone number: 214-810-3756
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Mailing Address
Mrs. JENNA A MACK M.Ed, LPC
1207 S WHITE CHAPEL BLVD STE 105
SOUTHLAKE, TX 76092-9315
Phone number: 214-810-3756
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