Individual
MARY BETH MAMMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3074 FOREST DR, CELINA, TX 75009-2825
(678) 592-0820
Mailing address
3074 FOREST DR, CELINA, TX 75009-2825
(678) 592-0820
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
71489
TX
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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