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1114353851
JANICE BLACKHAM
NEW YORK, NY
NPI
1114353851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 020195)
Enumeration Date
2013-09-25
Last Update Date
2015-06-10
Business Address
-- JANICE BLACKHAM Psy.D.
1745 BROADWAY 17 FL.
NEW YORK, NY 10019-4640
Phone number: 212-851-8100
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Mailing Address
-- JANICE BLACKHAM Psy.D.
1745 BROADWAY 17 FL
NEW YORK, NY 10019-4640
Phone number: 212-851-8100
Copy
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