Individual
BROOKE NICOLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 MAXWELL ST, FAYETTEVILLE, NC 28301-5592
(423) 863-5672
Mailing address
159 MAXWELL ST, FAYETTEVILLE, NC 28301-5592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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