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Individual
MRS. JULIE ELAINE BLEICKER
Active
Individual
MRS. JULIE ELAINE BLEICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018
COUNTY ISSUED NUMBER
CA
Enumeration date
11/16/2006
Last updated
04/27/2010
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