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1669122172
EDITH Z BLAKE
SAN ANTONIO, TX
NPI
1669122172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TX 81672)
Enumeration Date
2022-03-27
Last Update Date
2022-03-27
Business Address
EDITH Z BLAKE M.S., LSSP, LPC
4939 DE ZAVALA RD
SAN ANTONIO, TX 78249-2046
Phone number: 210-757-3303
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Mailing Address
EDITH Z BLAKE M.S., LSSP, LPC
PO BOX 1135
HELOTES, TX 78023
Phone number: 210-757-3303
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