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1730461369
KING BLAKE
BALTIMORE, MD
NPI
1730461369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: MD LC4136)
Enumeration Date
2011-09-09
Last Update Date
2021-09-28
Business Address
KING BLAKE L.C.P.C.
1317 E NORTH AVE
BALTIMORE, MD 21213-1405
Phone number: 410-240-0785
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Mailing Address
KING BLAKE L.C.P.C.
1317 E NORTH AVE
BALTIMORE, MD 21213-1405
Phone number: 410-240-0785
Copy
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