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1881944965
SHAWNTAY DENISE BLAKENEY
BANNING, CA
NPI
1881944965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 67029)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
Ms. SHAWNTAY DENISE BLAKENEY M.S., MFTI
1627 S HARGRAVE ST
BANNING, CA 92220-6169
Phone number: 951-922-2712
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Mailing Address
Ms. SHAWNTAY DENISE BLAKENEY M.S., MFTI
1627 S HARGRAVE ST
BANNING, CA 92220-6169
Phone number: 951-922-2712
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