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1689703498
ELISA YOUNGBLOOD
KETCHIKAN, AK
NPI
1689703498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AK 568)
Enumeration Date
2007-03-05
Last Update Date
2013-08-13
Business Address
Dr. ELISA YOUNGBLOOD Ph.D.
1162 JACKSON ST
KETCHIKAN, AK 99901-5771
Phone number: 907-617-0169
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Mailing Address
Dr. ELISA YOUNGBLOOD Ph.D.
1162 JACKSON ST
KETCHIKAN, AK 99901-5771
Phone number: 907-617-0169
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