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1336717032
BLAKE ELLERT
SPOKANE, WA
NPI
1336717032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-7668)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
BLAKE ELLERT MS
504 E 2ND AVE
SPOKANE, WA 99202-1406
Phone number: 509-462-2500
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Mailing Address
BLAKE ELLERT MS
1004 E 42ND AVE
SPOKANE, WA 99203-6204
Phone number: 509-227-9525
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