WILLIAM BLAKE

CHESTER, PA
NPI1265585327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- WILLIAM BLAKE
2600 W 9TH ST 4 FLR
CHESTER, PA 19013-2040
Phone number: 610-497-7200
Mailing Address
-- WILLIAM BLAKE
3804 GREENWOOD AVE
BOOTHWYN, PA 19061-2729
Phone number: 610-497-7200
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