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1033771506
MAXWEL BLAKE SHAFT
SANTA BARBARA, CA
NPI
1033771506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
MAXWEL BLAKE SHAFT
106 JUANA MARIA AVE
SANTA BARBARA, CA 93103-2714
Phone number: 805-963-5021
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Mailing Address
MAXWEL BLAKE SHAFT
617 GARDEN ST
SANTA BARBARA, CA 93101-1664
Phone number: 805-884-8440
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