Individual
BLAKE V HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
726 S 17TH ST, FORT DODGE, IA 50501-5344
(800) 830-7009
Mailing address
726 S 17TH ST, FORT DODGE, IA 50501-5344
(800) 830-7009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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