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1487073938
BRENDA BLAKE
LEBANON, IN
NPI
1487073938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002595A)
Enumeration Date
2014-04-14
Last Update Date
2024-10-16
Business Address
BRENDA BLAKE LMHC
1600 W MAIN ST
LEBANON, IN 46052-2388
Phone number: 317-574-1254
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Mailing Address
BRENDA BLAKE LMHC
9615 E 148TH ST STE 1
NOBLESVILLE, IN 46060-4371
Phone number: 317-574-1254
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