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TIMOTHY BLAKE

Counselor

NPI: 1003044066Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
725 HIGHLAND AVE
WINSTON SALEM, NC 27101

Quick Facts

NPI
1003044066
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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