KELLY ALYSSA BLAYLOCK

SAN DIEGO, CA
NPI1902462641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-05-17
Last Update Date2023-09-05
Business Address
KELLY ALYSSA BLAYLOCK
5088 PACIFICA DR
SAN DIEGO, CA 92109-1502
Phone number: 619-940-7441
Mailing Address
KELLY ALYSSA BLAYLOCK
800 SILVERADO ST STE 300
LA JOLLA, CA 92037-4234
Phone number: 619-940-7441
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