ELIZABETH GRACE BLAKE

MORGANTOWN, WV
NPI1457931586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
ELIZABETH GRACE BLAKE BA
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508-6838
Phone number: 304-284-0025
Mailing Address
ELIZABETH GRACE BLAKE BA
53 DON KNOTTS BLVD
MORGANTOWN, WV 26508-6838
Phone number: 304-284-0025