WALTER B BLAKE

SAINT PETERSBURG, FL
NPI1013746031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
WALTER B BLAKE
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711-1239
Phone number: 727-327-7656
Mailing Address
WALTER B BLAKE
PO BOX 10970
SAINT PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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