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1558993949
MADISON BLAIR
LOS ANGELES, CA
NPI
1558993949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: 109481)
Enumeration Date
2020-02-04
Last Update Date
2022-08-09
Business Address
MADISON BLAIR
3001 W VERNON AVE
LOS ANGELES, CA 90008-5293
Phone number: 626-480-8107
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Mailing Address
MADISON BLAIR
3001 W VERNON AVE
LOS ANGELES, CA 90008-5293
Phone number: 626-480-8107
Copy
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