AUSTIN BLACKLOCK

FORT WORTH, TX
NPI1770186108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  116338)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
AUSTIN BLACKLOCK
8101 BOAT CLUB RD STE 160
FORT WORTH, TX 76179-3631
Phone number: 214-302-9725
Mailing Address
AUSTIN BLACKLOCK
8101 BOAT CLUB RD STE 160
FORT WORTH, TX 76179-3631
Phone number: 214-302-9725
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