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1659616365
L. DIANE BLACK
BRYAN, TX
NPI
1659616365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 200999)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
-- L. DIANE BLACK MA, LMFT
4301 CARTER CREEK PKWY SUITE 212
BRYAN, TX 77802-4485
Phone number: 979-299-8315
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Mailing Address
-- L. DIANE BLACK MA, LMFT
PO BOX 69
NEW BADEN, TX 77870-0069
Phone number: 979-299-8315
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