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1972867794
LISA BLACKMON
BELTON, TX
NPI
1972867794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 17230)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
-- LISA BLACKMON LPC
2170 N MAIN ST STE D
BELTON, TX 76513-1919
Phone number: 254-773-6787
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Mailing Address
-- LISA BLACKMON LPC
2170 N MAIN ST STE D
BELTON, TX 76513-1919
Phone number:
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