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1215360490
MATTHEW BLAKE MANIS
WAXAHACHIE, TX
NPI
1215360490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
Dr. MATTHEW BLAKE MANIS PhD., BA., CLC
1601 HWY 77 N.
WAXAHACHIE, TX 75165
Phone number: 214-230-1621
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Mailing Address
Dr. MATTHEW BLAKE MANIS PhD., BA., CLC
119 CHESTERFIELD CIR
WAXAHACHIE, TX 75165-6362
Phone number: 214-230-1621
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