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1487875415
BLANCHARD LEROY FOSTER
MOUNT SHASTA, CA
NPI
1487875415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44471)
Enumeration Date
2007-05-01
Last Update Date
2012-02-19
Business Address
Mr. BLANCHARD LEROY FOSTER LMFT
110 W. CASTLE STREET, SUITE 100
MOUNT SHASTA, CA 96067
Phone number: 530-515-8085
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Mailing Address
Mr. BLANCHARD LEROY FOSTER LMFT
P.O. BOX 65
MOUNT SHASTA, CA 96067-0065
Phone number: 530-515-8085
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