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1114431350
STEPHANIE ELLEN BLUMBERG
TORRANCE, CA
NPI
1114431350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
STEPHANIE ELLEN BLUMBERG
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1587
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Mailing Address
STEPHANIE ELLEN BLUMBERG
25023 ANDREO AVE
LOMITA, CA 90717-1709
Phone number:
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