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1720127855
SUSAN D BLAKE
GREENSBORO, NC
NPI
1720127855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 5578)
Enumeration Date
2007-02-05
Last Update Date
2016-02-19
Business Address
Dr. SUSAN D BLAKE LPC
3650 MORRIS FARM DR 3B
GREENSBORO, NC 27409-8944
Phone number: 336-402-7346
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Mailing Address
Dr. SUSAN D BLAKE LPC
3650 MORRIS FARM DR 3B
GREENSBORO, NC 27409-8944
Phone number: 336-402-7346
Copy
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