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1306995089
LEE ROY BLACKWELL
HUNTINGTON BEACH, CA
NPI
1306995089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: CA PSY5642)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. LEE ROY BLACKWELL Ph.D.
16152 BEACH BLVD STE 170
HUNTINGTON BEACH, CA 92647-3818
Phone number: 714-848-7280
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Mailing Address
Dr. LEE ROY BLACKWELL Ph.D.
16152 BEACH BLVD STE 170
HUNTINGTON BEACH, CA 92647-3818
Phone number: 714-848-7280
Copy
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