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1659896942
ALICIA BLACKWOOD
FOUNTAIN VALLEY, CA
NPI
1659896942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 82978)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
ALICIA BLACKWOOD LMFT
17155 NEWHOPE ST STE L
FOUNTAIN VALLEY, CA 92708-4233
Phone number: 714-496-7789
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Mailing Address
ALICIA BLACKWOOD LMFT
467 62ND ST
NEWPORT BEACH, CA 92663-1903
Phone number: 714-496-7789
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