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1447903224
ELLEN MALLORY JOHNSON
AUSTIN, TX
NPI
1447903224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 82369)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
ELLEN MALLORY JOHNSON LPC
825 W 11TH ST STE 1A
AUSTIN, TX 78701-2052
Phone number: 512-593-8541
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Mailing Address
ELLEN MALLORY JOHNSON LPC
825 W 11TH ST STE 1A
AUSTIN, TX 78701-2052
Phone number: 512-593-8541
Copy
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