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1639661960
LISA BLALOCK
WEBSTER, NY
NPI
1639661960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 008660)
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
LISA BLALOCK LMHC
807 RIDGE RD STE 206
WEBSTER, NY 14580-2497
Phone number: 585-738-9076
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Mailing Address
LISA BLALOCK LMHC
411 PARSONS ACRES
ONTARIO, NY 14519-9323
Phone number: 585-738-9076
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