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1225710809
ALEXANDER JORDAN BLACK
SAN JOSE, CA
NPI
1225710809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 141961)
Enumeration Date
2023-08-03
Last Update Date
2023-10-11
Business Address
ALEXANDER JORDAN BLACK AMFT
1245 E SANTA CLARA ST
SAN JOSE, CA 95116-2337
Phone number: 408-294-0500
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Mailing Address
ALEXANDER JORDAN BLACK AMFT
1245 E SANTA CLARA ST
SAN JOSE, CA 95116-2337
Phone number: 408-240-0070
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