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1992521678
BATHSHEVA BLACKSTON
HOLLYWOOD, FL
NPI
1992521678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL IMT4162)
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
BATHSHEVA BLACKSTON MFT-Intern
2419 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020-6605
Phone number: 954-361-4535
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Mailing Address
BATHSHEVA BLACKSTON MFT-Intern
5051 N 37TH ST
HOLLYWOOD, FL 33021-2242
Phone number: 213-709-7001
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