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Organization
ROOM TO GROW: THERAPY, SUPERVISION, CONSULTATION, PLLC
Active
Organization
ROOM TO GROW: THERAPY, SUPERVISION, CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY SUE GREEN PH.D., LMFT (PRESIDENT)
(940) 536-3644
Entity
Organization
Contact information
Practice address
8150 US HIGHWAY 287, CHILDRESS, TX 79201-7152
(940) 536-3644
Mailing address
804 COMBS ST, QUANAH, TX 79252-4444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201547
TX
Other
Enumeration date
01/30/2018
Last updated
03/17/2018
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