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1407593221
CHRISTOPHER SLACK
GRAPEVINE, TX
NPI
1407593221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: TX 38821)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
CHRISTOPHER SLACK PhD
1135 S MAIN ST
GRAPEVINE, TX 76051-7533
Phone number: 817-329-5041
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Mailing Address
CHRISTOPHER SLACK PhD
1135 S MAIN ST
GRAPEVINE, TX 76051-7533
Phone number: 817-329-5041
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