Individual
MARY NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1255 W 15TH ST STE 320, PLANO, TX 75075-7275
(469) 708-9012
(972) 596-5131
Mailing address
1255 W 15TH ST STE 320, PLANO, TX 75075-7275
(469) 708-9012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202932
TX
Other
Enumeration date
06/20/2019
Last updated
03/04/2020
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