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Individual
MICHAEL RAY BLAIR
Active
Individual
MICHAEL RAY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0064
NM
101Y00000X
Counselor
991350
CO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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