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1861412983
BLAIR MICHAEL ROBERTS
COSTA MESA, CA
NPI
1861412983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14938)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mr. BLAIR MICHAEL ROBERTS LCSW
2900 BRISTOL ST J-204
COSTA MESA, CA 92626-5981
Phone number: 714-510-6104
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Mailing Address
Mr. BLAIR MICHAEL ROBERTS LCSW
137 S LOS TIMBRES ST
ORANGE, CA 92869-4200
Phone number: 714-510-6104
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