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1063174209
BRENDA KATHLEEN BLACKBURN
LOS ANGELES, CA
NPI
1063174209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW93997)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
BRENDA KATHLEEN BLACKBURN
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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Mailing Address
BRENDA KATHLEEN BLACKBURN
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
Copy
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