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1639604655
DOREEN BLAKE
KOTZEBUE, AK
NPI
1639604655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 153055)
Enumeration Date
2017-04-27
Last Update Date
2020-03-12
Business Address
DOREEN BLAKE LPC, CDC1
733 2ND AVENUE
KOTZEBUE, AK 99752-1453
Phone number: 907-442-7640
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Mailing Address
DOREEN BLAKE LPC, CDC1
PO BOX 256
KOTZEBUE, AK 99752-0256
Phone number:
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