THERESA BLAYLOCK

HAYWARD, CA
NPI1962844027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
-- THERESA BLAYLOCK MPA
795 FLETCHER LN
HAYWARD, CA 94544-1008
Phone number: 510-247-8300
Mailing Address
-- THERESA BLAYLOCK MPA
795 FLETCHER LN
HAYWARD, CA 94544-1008
Phone number: 510-247-8300
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