TIMOTHY CARL BLAKE

WINSTON SALEM, NC
NPI1003044066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-06-29
Last Update Date2009-06-29
Business Address
-- TIMOTHY CARL BLAKE
725 HIGHLAND AVE
WINSTON SALEM, NC 27101-4206
Phone number: 336-607-8523
Mailing Address
-- TIMOTHY CARL BLAKE
284 EXECUTIVE PARK DR SUITE 100
CONCORD, NC 28025-1831
Phone number:
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