DORENE G BLAKE

CAPITOLA, CA
NPI1225191745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT27688)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Ms. DORENE G BLAKE MA MFT
820 BAY AVENUE SUITE 132
CAPITOLA, CA 95010
Phone number: 831-475-1615
Mailing Address
Ms. DORENE G BLAKE MA MFT
4160 JADE ST #31
CAPITOLA, CA 95010
Phone number: 831-476-2433
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