SUSAN LYNNE BLAINE

DAVIS, CA
NPI1174542666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC33852)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Ms. SUSAN LYNNE BLAINE MFT
1260 LAKE BLVD SUITE 243
DAVIS, CA 95616-2614
Phone number: 530-297-1601
Mailing Address
Ms. SUSAN LYNNE BLAINE MFT
1260 LAKE BLVD SUITE 243
DAVIS, CA 95616-2614
Phone number: 530-297-1601
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