MRS. Mary Lane Mickens
NPI #1265594345 in Texarkana, Texas
Provider Information
- NPI Number
- 1265594345
- Entity Type
- Individual
- Name
- MRS. Mary Lane Mickens
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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