SUSAN BLALOCK

TYLER, TX
NPI1952773293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  68887)
Enumeration Date2015-10-27
Last Update Date2015-10-27
Business Address
-- SUSAN BLALOCK
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
Mailing Address
-- SUSAN BLALOCK
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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