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1952773293
SUSAN BLALOCK
TYLER, TX
NPI
1952773293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 68887)
Enumeration Date
2015-10-27
Last Update Date
2024-11-24
Business Address
-- SUSAN BLALOCK
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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Mailing Address
-- SUSAN BLALOCK
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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