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1821244658
NISSA BLAIR SHAKOCIUS
BOERNE, TX
NPI
1821244658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 24656)
Enumeration Date
2008-08-12
Last Update Date
2020-05-12
Business Address
NISSA BLAIR SHAKOCIUS LCSW
113 PLEASANT VALLEY DR STE 210
BOERNE, TX 78006-5683
Phone number: 830-267-4575
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Mailing Address
NISSA BLAIR SHAKOCIUS LCSW
113 PLEASANT VALLEY DR STE 210
BOERNE, TX 78006-5683
Phone number: 830-267-4575
Copy
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