STEPHANIE BLALOCK

MARINA, CA
NPI1972036499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-04-11
Last Update Date2017-04-11
Business Address
-- STEPHANIE BLALOCK
617 BAYONET CIRCLE
MARINA, CA 93933
Phone number: 831-384-7251
Mailing Address
-- STEPHANIE BLALOCK
617 BAYONET CIRCLE
MARINA, CA 93933
Phone number: 831-384-7251
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