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1023869294
BLAKE BRYANT
AUSTIN, TX
NPI
1023869294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 69071)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
Mr. BLAKE BRYANT LCSW
1309 BYERS LN
AUSTIN, TX 78753-6890
Phone number: 214-794-1997
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Mailing Address
Mr. BLAKE BRYANT LCSW
1309 BYERS LN
AUSTIN, TX 78753-6890
Phone number: 214-794-1997
Copy
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