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1720117468
TIMOTHY GEORGE BLATT
SOUTH PASADENA, CA
NPI
1720117468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc28273)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY GEORGE BLATT LMFT
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-2630
Phone number: 626-395-7100
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Mailing Address
Mr. TIMOTHY GEORGE BLATT LMFT
2753 LA CUESTA DR
LOS ANGELES, CA 90046-1338
Phone number: 323-874-4765
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