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1083468953
CALLIE ELIZABETH BLAKE
CALABASAS, CA
NPI
1083468953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 145394)
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
CALLIE ELIZABETH BLAKE
4774 PARK GRANADA UNIT 8742
CALABASAS, CA 91372-7037
Phone number: 310-853-2489
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Mailing Address
CALLIE ELIZABETH BLAKE
4819 POE AVE
WOODLAND HILLS, CA 91364-4621
Phone number: 818-257-9938
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