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Gwendolyn Blacknell, LCDC

NPI 1962707570 · on the registry since 2011 · sole proprietor

Practice

Address
3207 Broadway St
Apt. 3207
Houston, TX 77017
Phone
(281) 991-8668
Fax
(713) 236-0120

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas