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Individual
MACIE LEA BABO
Active
Individual
MACIE LEA BABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84777
TX
101YP2500X
Professional Counselor
84777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215486725
MALLORY STRIESFELD
TX
Enumeration date
10/01/2021
Last updated
02/22/2024
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