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Individual

AMMIE NOEMI BLATCHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 426-6310
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 426-6310

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134065
CA

Other

Enumeration date
03/01/2021
Last updated
12/18/2025
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