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1477246288
WILLIAM BLAKE MARTIN
SAN ANTONIO, TX
NPI
1477246288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: TX 39616)
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
WILLIAM BLAKE MARTIN PHD
708 W SUMMIT AVE
SAN ANTONIO, TX 78212-2746
Phone number: 210-239-7715
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Mailing Address
WILLIAM BLAKE MARTIN PHD
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number:
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