Individual
MRS. MARYELLEN DABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
305 MIRON DR, SOUTHLAKE, TX 76092-7831
(817) 876-9958
Mailing address
305 MIRON DR, SOUTHLAKE, TX 76092-7831
(817) 876-9958
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201342
TX
Other
Enumeration date
04/01/2010
Last updated
10/11/2014
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