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1184900714
STEVEN ALLEN BLAISDELL
AUSTIN, TX
NPI
1184900714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65711)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
Mr. STEVEN ALLEN BLAISDELL LPC-Intern
1212 LUNA ST
AUSTIN, TX 78721-1230
Phone number: 512-413-8908
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Mailing Address
Mr. STEVEN ALLEN BLAISDELL LPC-Intern
1212 LUNA ST
AUSTIN, TX 78721-1230
Phone number: 512-413-8908
Copy
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