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1720372774
DAVID SHAWN BALICKI
SAN JOSE, CA
NPI
1720372774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 87584)
Enumeration Date
2011-06-07
Last Update Date
2019-09-03
Business Address
Mr. DAVID SHAWN BALICKI
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
Mr. DAVID SHAWN BALICKI
1563 CLARITA AVE
SAN JOSE, CA 95130-1214
Phone number: 408-483-0439
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