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1609200856
MICHELLE A BLACKMORE
BRONX, NY
NPI
1609200856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 020213)
Enumeration Date
2013-08-23
Last Update Date
2013-10-02
Business Address
Dr. MICHELLE A BLACKMORE PhD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-7971
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Mailing Address
Dr. MICHELLE A BLACKMORE PhD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-7971
Copy
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