Individual
MR. ROBERT A. BLAYDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1724
MD
1041C0700X
Clinical Social Worker
Primary
15866
MD
Other
Enumeration date
08/26/2009
Last updated
11/02/2010
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