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1174004238
VIRGINIA BLUE
PALO ALTO, CA
NPI
1174004238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA IMF90651)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
VIRGINIA BLUE MFTI
555 MIDDLEFIELD RD
PALO ALTO, CA 94301-2124
Phone number: 650-321-3055
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Mailing Address
VIRGINIA BLUE MFTI
1549 PERSHING DR APT E
SAN FRANCISCO, CA 94129-1219
Phone number: 415-496-6613
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