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Individual

MRS. MARY CATHERINE BLACKWELL-GARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CNS, LMFT

Contact information

Practice address
4411 DACOMA ST, HOUSTON, TX 77092-8611
(713) 686-9194
(713) 686-9413
Mailing address
101 FEU FOLLET RD STE 100, LAFAYETTE, LA 70508-4234
(713) 686-9194
(713) 686-9413

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4593
TX
364S00000X
Clinical Nurse Specialist
552483
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146371304
TX
Enumeration date
01/20/2006
Last updated
04/18/2022
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