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1396163366
BLAINE MCFADDEN
SANTA MONICA, CA
NPI
1396163366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS28666)
Enumeration Date
2014-04-06
Last Update Date
2014-09-30
Business Address
-- BLAINE MCFADDEN LCSW
1527 4TH ST
SANTA MONICA, CA 90401-2358
Phone number: 310-394-9871
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Mailing Address
-- BLAINE MCFADDEN LCSW
1527 4TH ST
SANTA MONICA, CA 90401-2358
Phone number: 310-394-9871
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