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1417254467
TRACEY HELENE MCCULLICK
AUSTIN, TX
NPI
1417254467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 17597)
Enumeration Date
2011-02-26
Last Update Date
2011-02-26
Business Address
Ms. TRACEY HELENE MCCULLICK LPC
5119 FAIRVIEW DR B
AUSTIN, TX 78731-5425
Phone number: 512-452-0063
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Mailing Address
Ms. TRACEY HELENE MCCULLICK LPC
5119 FAIRVIEW DR B
AUSTIN, TX 78731-5425
Phone number: 512-452-0063
Copy
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