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1962707570
GWENDOLYN YVONNE BLACKNELL
HOUSTON, TX
NPI
1962707570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10653)
Enumeration Date
2011-01-13
Last Update Date
2014-04-18
Business Address
-- GWENDOLYN YVONNE BLACKNELL LCDC
3207 BROADWAY ST APT. 3207
HOUSTON, TX 77017-2320
Phone number: 281-991-8668
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Mailing Address
-- GWENDOLYN YVONNE BLACKNELL LCDC
3207 BROADWAY ST APT. 3207
HOUSTON, TX 77017-2320
Phone number: 281-991-8668
Copy
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