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1790026946
MANDY ELAINE ETHRIDGE
BELTON, TX
NPI
1790026946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 67716)
Enumeration Date
2013-03-13
Last Update Date
2024-09-19
Business Address
MANDY ELAINE ETHRIDGE LPC
111 N WALL ST UNIT 1295
BELTON, TX 76513-0128
Phone number: 254-535-3688
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Mailing Address
MANDY ELAINE ETHRIDGE LPC
PO BOX 1295
BELTON, TX 76513-5295
Phone number: 254-535-3688
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