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1376872697
KEELY CHANTALE BLACK
DALLAS, TX
NPI
1376872697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 62324)
Enumeration Date
2009-12-16
Last Update Date
2009-12-16
Business Address
Ms. KEELY CHANTALE BLACK
3227 MCKINNEY AVE 6E
DALLAS, TX 75204-7424
Phone number: 972-977-2490
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Mailing Address
Ms. KEELY CHANTALE BLACK
3227 MCKINNEY AVE 6E
DALLAS, TX 75204-7424
Phone number: 972-977-2490
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