BRENDA REBECCA BLAKE

SALEM, OR
NPI1285243436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2020-07-23
Last Update Date2022-06-23
Business Address
BRENDA REBECCA BLAKE
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-763-5734
Mailing Address
BRENDA REBECCA BLAKE
3867 WOLVERINE ST NE BLDG F
SALEM, OR 97305-4266
Phone number: 503-763-5734
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