Individual
MS. MARY ANGELA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
113 23RD AVE S, SEATTLE, WA 98144-2309
(062) 195-9802
(206) 812-6161
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
(425) 747-8348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60639393
WA
Other
Enumeration date
02/20/2018
Last updated
12/19/2023
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