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1265585327
WILLIAM BLAKE
CHESTER, PA
NPI
1265585327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- WILLIAM BLAKE
2600 W 9TH ST 4 FLR
CHESTER, PA 19013-2040
Phone number: 610-497-7200
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Mailing Address
-- WILLIAM BLAKE
3804 GREENWOOD AVE
BOOTHWYN, PA 19061-2729
Phone number: 610-497-7200
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