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Individual
MRS. MARY LYNN BOATWRIGHT
Active
Individual
MRS. MARY LYNN BOATWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC; LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16477
TX
106H00000X
Marriage & Family Therapist
004982-041969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15611020-3
—
TX
Enumeration date
08/17/2006
Last updated
12/01/2011
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