Individual
MS. MARY WALSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12059 WILDERNESS TRL, LIVE OAK, TX 78233-4238
(210) 452-6416
(210) 265-1695
Mailing address
12059 WILDERNESS TRL, LIVE OAK, TX 78233-4238
(210) 452-6416
(210) 265-1695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63131
TX
Other
Enumeration date
01/09/2010
Last updated
01/09/2010
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