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1750549283
SCOTT M BLAISDELL
LONG BEACH, CA
NPI
1750549283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS17400)
Enumeration Date
2008-05-31
Last Update Date
2008-05-31
Business Address
Mr. SCOTT M BLAISDELL LCSW
3817 LINDEN AVE
LONG BEACH, CA 90807-3414
Phone number: 562-883-1516
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Mailing Address
Mr. SCOTT M BLAISDELL LCSW
3817 LINDEN AVE
LONG BEACH, CA 90807-3414
Phone number: 562-883-1516
Copy
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