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1508920968
SELENA MARGARITA LE BLANC
FAIRFIELD, CA
NPI
1508920968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2006-12-20
Last Update Date
2009-06-18
Business Address
MS. SELENA MARGARITA LE BLANC MFTT
1745 ENTERPRISE DR BLDG 2 SUITE I-64
FAIRFIELD, CA 94533-5801
Phone number: 707-427-6640
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Mailing Address
MS. SELENA MARGARITA LE BLANC MFTT
2999 NORTH TEXAS #21
FAIRFIELD,, CA 94533
Phone number: 707-655-5599
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