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1588334791
LOUISA MIRIAM KORNBLATT
SANTA CLARA, CA
NPI
1588334791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 110736)
Enumeration Date
2021-09-18
Last Update Date
2023-10-04
Business Address
LOUISA MIRIAM KORNBLATT LCSW
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054-1140
Phone number: 323-205-7088
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Mailing Address
LOUISA MIRIAM KORNBLATT LCSW
410 LEXINGTON AVE APT 4C
BROOKLYN, NY 11221-6318
Phone number: 608-770-1868
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