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1437524204
DEBORAH BANNAN
TYLER, TX
NPI
1437524204
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Former Name
DEBORAH MANGUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 920)
Enumeration Date
2015-12-04
Last Update Date
2022-09-30
Business Address
DEBORAH BANNAN LPC-S
2817 KEENAN DR
TYLER, TX 75701-3706
Phone number: 907-885-5955
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Mailing Address
DEBORAH BANNAN LPC-S
2817 KEENAN DR
TYLER, TX 75701-3706
Phone number: 907-885-5955
Copy
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