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1538405121
BLAKE CAMPBELL RAVIN
STATESVILLE, NC
NPI
1538405121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 4277)
Enumeration Date
2012-12-31
Last Update Date
2012-12-31
Business Address
-- BLAKE CAMPBELL RAVIN LPC
209 BARIUM SPRINGS DRIVE
STATESVILLE, NC 28677-6238
Phone number: 704-873-1011
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Mailing Address
-- BLAKE CAMPBELL RAVIN LPC
PO BOX 1
BARIUM SPRINGS, NC 28010-0001
Phone number: 704-873-1011
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