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1932817673
MARY MADISON JOHNSON
LUBBOCK, TX
NPI
1932817673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 85999)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
MARY MADISON JOHNSON
1515 TEXAS AVE
LUBBOCK, TX 79401-5146
Phone number: 806-786-1829
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Mailing Address
MARY MADISON JOHNSON
5416 44TH ST
LUBBOCK, TX 79414-1324
Phone number: 806-786-1829
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