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1194044651
SONNY JAMES BLAKE
CLEARWATER, FL
NPI
1194044651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 10074)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
-- SONNY JAMES BLAKE LMHC
14041 ICOT BLVD
CLEARWATER, FL 33760-3702
Phone number: 727-479-1800
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Mailing Address
-- SONNY JAMES BLAKE LMHC
14041 ICOT BLVD
CLEARWATER, FL 33760-3702
Phone number: 727-479-1800
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