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1689117335
DOUGLAS BLAKEMAN
HICKORY, NC
NPI
1689117335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 22214)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
DOUGLAS BLAKEMAN CSAC
425 7TH AVE SW
HICKORY, NC 28602-3237
Phone number: 828-355-5915
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Mailing Address
DOUGLAS BLAKEMAN CSAC
425 7TH AVE SW
HICKORY, NC 28602-3237
Phone number: 828-355-5915
Copy
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