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1013162825
WILLIAM CAMPBELL BLAKE
TAMPA, FL
NPI
1013162825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH3561)
Enumeration Date
2008-11-20
Last Update Date
2008-11-20
Business Address
-- WILLIAM CAMPBELL BLAKE Ed.D.
605 S FREMONT AVE SUITE A
TAMPA, FL 33606-2479
Phone number: 813-417-8552
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Mailing Address
-- WILLIAM CAMPBELL BLAKE Ed.D.
605 S FREMONT AVE SUITE A
TAMPA, FL 33606-2479
Phone number: 813-417-8552
Copy
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