VIRGINIA L. BLAKE

CALAIS, ME
NPI1659638955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC3675)
Enumeration Date2012-04-12
Last Update Date2012-04-12
Business Address
-- VIRGINIA L. BLAKE LADC, CCS, LSW
127 PALMER ST
CALAIS, ME 04619-1300
Phone number: 207-454-0270
Mailing Address
-- VIRGINIA L. BLAKE LADC, CCS, LSW
127 PALMER ST
CALAIS, ME 04619-1300
Phone number: 207-454-0270