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Individual
WILLIAM BLAKE PAUL
Active
Individual
WILLIAM BLAKE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.F.T.
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10822129-3902
UT
106H00000X
Marriage & Family Therapist
MFC46551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC46551
BBS
CA
Enumeration date
01/31/2008
Last updated
09/21/2018
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