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1790107274
CHARLENE BLAKE
CHARLOTTE, NC
NPI
1790107274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- CHARLENE BLAKE
2815 COLISEUM CENTRE DR SUITE 230
CHARLOTTE, NC 28217-1452
Phone number: 704-357-7920
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Mailing Address
-- CHARLENE BLAKE
2815 COLISEUM CENTRE DR SUITE 230
CHARLOTTE, NC 28217-1452
Phone number: 704-357-7920
Copy
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