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1659638955
VIRGINIA L. BLAKE
CALAIS, ME
NPI
1659638955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC3675)
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
-- VIRGINIA L. BLAKE LADC, CCS, LSW
127 PALMER ST
CALAIS, ME 04619-1300
Phone number: 207-454-0270
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Mailing Address
-- VIRGINIA L. BLAKE LADC, CCS, LSW
127 PALMER ST
CALAIS, ME 04619-1300
Phone number: 207-454-0270
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