MINA-AYESHA A BLAIR

WILLIAMSPORT, PA
NPI1235161571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PA  SW123316)
Enumeration Date2006-07-07
Last Update Date2014-06-23
Business Address
-- MINA-AYESHA A BLAIR MSW, LSW
2062 OLD LYCOMING RAOD
WILLIAMSPORT, PA 17701
Phone number: 570-505-1123
Mailing Address
-- MINA-AYESHA A BLAIR MSW, LSW
65 GRATZMAR AVE
RENOVO, PA 17764-9507
Phone number: 570-858-0046
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