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1124313432
MINDY BLOCK BACCHUS
GEORGETOWN, TX
NPI
1124313432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63473)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
Mrs. MINDY BLOCK BACCHUS LPC
404 W 9TH ST SUITE 104
GEORGETOWN, TX 78626-5543
Phone number: 512-864-5911
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Mailing Address
Mrs. MINDY BLOCK BACCHUS LPC
404 W 9TH ST SUITE 104
GEORGETOWN, TX 78626-5543
Phone number:
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