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1467907048
CHELSEA BLUE BAZILIAN
LA VERNE, CA
NPI
1467907048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-08-24
Last Update Date
2019-06-11
Business Address
CHELSEA BLUE BAZILIAN LMSW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 716-474-7359
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Mailing Address
CHELSEA BLUE BAZILIAN LMSW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-596-5921
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