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1821476235
KIMBERLY BLACK
SAN JOSE, CA
NPI
1821476235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 80313)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
-- KIMBERLY BLACK M.F.T.
913 WILLOW ST STE 103
SAN JOSE, CA 95125-2380
Phone number: 408-599-1870
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Mailing Address
-- KIMBERLY BLACK M.F.T.
913 WILLOW ST STE 103
SAN JOSE, CA 95125-2380
Phone number: 408-599-1870
Copy
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