GAIL RENE BLACK

SANTA CRUZ, CA
NPI1215181995
Former NameGAIL RENE WALTERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  mfc33588)
Enumeration Date2008-11-08
Last Update Date2013-10-09
Business Address
Mrs. GAIL RENE BLACK MFT
740 FRONT ST STE 350
SANTA CRUZ, CA 95060-4562
Phone number: 831-425-3378
Mailing Address
Mrs. GAIL RENE BLACK MFT
740 FRONT ST STE 350
SANTA CRUZ, CA 95060-4562
Phone number: 831-425-3378
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