ALICIA BLAKE

PUEBLO, CO
NPI1508322330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-18
Last Update Date2019-02-18
Business Address
ALICIA BLAKE
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-1918
Mailing Address
ALICIA BLAKE
4485 LAREDO MEADOW PT APT 203
COLORADO SPRINGS, CO 80922-4017
Phone number: 719-246-7340
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