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1942545868
NANCY BLACKMAN
AUSTIN, TX
NPI
1942545868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12705)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- NANCY BLACKMAN CI
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8531
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Mailing Address
-- NANCY BLACKMAN CI
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8531
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