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1124196555
JODI BLACKLEY
FULLERTON, CA
NPI
1124196555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC41465)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- JODI BLACKLEY L.M.F.T.
2555 E CHAPMAN AVE STE 617
FULLERTON, CA 92831-3621
Phone number: 714-992-4656
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Mailing Address
-- JODI BLACKLEY L.M.F.T.
733 E CHAPMAN AVE
FULLERTON, CA 92831-3805
Phone number: 714-992-4656
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