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Individual
MARY L CARLSON
Active
Individual
MARY L CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
79257
TX
101YP2500X
Professional Counselor
2014030086
MO
101YP2500X
Professional Counselor
Primary
79257
TX
Other
Enumeration date
09/14/2016
Last updated
07/17/2025
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