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ISRAEL BLAKE
Religious Nonmedical Practitioner
NPI: 1598500605Individual
Specialties, Licenses & Credentials
Pastoral Counselor
Counselor — Pastoral
Code: 101YP1600X
Religious Nonmedical PractitionerPrimary
Religious Nonmedical Practitioner
Code: 374K00000X
Contact & Hours
- Address
- 228 AUGUSTA AVE
THOMASVILLE, GA 31792 - Phone
- (229) 228-7775
Quick Facts
- NPI
- 1598500605
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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