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Individual
MR. BLAKE GRIFFIN EDWARDS
Active
Individual
MR. BLAKE GRIFFIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSMFT LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60121736
WA
101Y00000X
Counselor
RC00046002
WA
106H00000X
Marriage & Family Therapist
201619
TX
106H00000X
Marriage & Family Therapist
Primary
LF60173194
WA
Other
Enumeration date
01/26/2010
Last updated
07/16/2020
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