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1285355453
JACQUELYN BLAKE
THOMASVILLE, NC
NPI
1285355453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
JACQUELYN BLAKE
1301 NATIONAL HWY
THOMASVILLE, NC 27360-2317
Phone number: 336-472-8230
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Mailing Address
JACQUELYN BLAKE
1301 NATIONAL HWY
THOMASVILLE, NC 27360-2317
Phone number:
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