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Individual
MARY BRANSON
Active
Individual
MARY BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15473
TX
106H00000X
Marriage & Family Therapist
Primary
4880
TX
Other
Enumeration date
12/22/2006
Last updated
12/16/2009
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