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1649332958
MELODY LOREN BLACK
WESTLAKE VILLAGE, CA
NPI
1649332958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 45646)
Enumeration Date
2006-12-14
Last Update Date
2010-08-13
Business Address
-- MELODY LOREN BLACK LMFT
875 S WESTLAKE BLVD STE 211
WESTLAKE VILLAGE, CA 91361-2925
Phone number: 805-449-4375
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Mailing Address
-- MELODY LOREN BLACK LMFT
933 WESTCREEK LN APT 218
WESTLAKE VILLAGE, CA 91362-5450
Phone number: 805-338-1277
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