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1952399339
BLAKE M POE
COEUR D ALENE, ID
NPI
1952399339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC3277)
Enumeration Date
2005-10-11
Last Update Date
2013-05-09
Business Address
-- BLAKE M POE LCPC
408 E MONTANA AVE
COEUR D ALENE, ID 83814-3051
Phone number: 208-667-3515
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Mailing Address
-- BLAKE M POE LCPC
408 E MONTANA AVE
COEUR D ALENE, ID 83814-3051
Phone number: 208-667-3515
Copy
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