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1790475705
BLANE BRAZIER
DALLAS, TX
NPI
1790475705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 87756)
Enumeration Date
2023-05-11
Last Update Date
2023-09-19
Business Address
BLANE BRAZIER
8604 GREENVILLE AVE STE 201
DALLAS, TX 75243-7148
Phone number: 469-834-5115
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Mailing Address
BLANE BRAZIER
1808 SERENADE LN
RICHARDSON, TX 75081-4763
Phone number: 469-834-5115
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