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1306908611
LAURA BLACKWELL
SANTA MARIA, CA
NPI
1306908611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- LAURA BLACKWELL
105 N LINCOLN ST
SANTA MARIA, CA 93458-4319
Phone number: 805-928-1707
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Mailing Address
-- LAURA BLACKWELL
1700 LYNNE DR UNIT 49
SANTA MARIA, CA 93454-1977
Phone number:
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