CHARLES RUEBEN BLAKE

ROCK ISLAND, IL
NPI1346034360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
CHARLES RUEBEN BLAKE
2200 3RD AVE
ROCK ISLAND, IL 61201-8840
Phone number: 309-206-6701
Mailing Address
CHARLES RUEBEN BLAKE
2917 36TH ST
ROCK ISLAND, IL 61201-5646
Phone number: 309-206-6701
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