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1740336056
LESLIE L BLAKE
BELLINGHAM, WA
NPI
1740336056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP000005459)
Enumeration Date
2007-01-27
Last Update Date
2007-07-08
Business Address
-- LESLIE L BLAKE BS, CDP
1603 E ILLINOIS ST
BELLINGHAM, WA 98226-3644
Phone number: 360-647-4266
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Mailing Address
-- LESLIE L BLAKE BS, CDP
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112
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