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Individual

BLAIR COWPERTHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
714 MAIN ST APT A, MARTINEZ, CA 94553-1121
(510) 559-0148
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
119151
CA

Other

Enumeration date
09/23/2011
Last updated
02/21/2024
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