Individual
MRS. MARY LEE MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12889
TX
101YP2500X
Professional Counselor
Primary
1994
OK
Other
Enumeration date
06/17/2010
Last updated
04/21/2011
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