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1396082335
ILENE BLUMBERG
AUSTIN, TX
NPI
1396082335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 54407)
Enumeration Date
2013-01-10
Last Update Date
2014-09-09
Business Address
-- ILENE BLUMBERG LCSW
1631 E 2ND ST STE D
AUSTIN, TX 78702-4491
Phone number: 512-804-3600
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Mailing Address
-- ILENE BLUMBERG LCSW
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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