BLAINE MCFADDEN

SANTA MONICA, CA
NPI1396163366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS28666)
Enumeration Date2014-04-06
Last Update Date2014-09-30
Business Address
-- BLAINE MCFADDEN LCSW
1527 4TH ST
SANTA MONICA, CA 90401-2358
Phone number: 310-394-9871
Mailing Address
-- BLAINE MCFADDEN LCSW
1527 4TH ST
SANTA MONICA, CA 90401-2358
Phone number: 310-394-9871