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1083462626
WILLIAM H W BLAKE
PASADENA, CA
NPI
1083462626
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci42350424)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
WILLIAM H W BLAKE CADC-I, C. Ht.
1562 E ORANGE GROVE BLVD
PASADENA, CA 91104-4726
Phone number: 318-664-0742
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Mailing Address
WILLIAM H W BLAKE CADC-I, C. Ht.
1562 E ORANGE GROVE BLVD
PASADENA, CA 91104-4726
Phone number: 318-664-0742
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