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1700195336
MARIELLEN MC LEAN
CONVERSE, TX
NPI
1700195336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 66701)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
-- MARIELLEN MC LEAN LPC
101 PEACEFUL LN
CONVERSE, TX 78109-1007
Phone number: 210-248-9077
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Mailing Address
-- MARIELLEN MC LEAN LPC
101 PEACEFUL LN
CONVERSE, TX 78109-1007
Phone number: 210-248-9077
Copy
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