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Individual

MR. BLAKE DANIEL HERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPA

Contact information

Practice address
1501 HIGHWOODS BLVD STE 101, GREENSBORO, NC 27410-2051
(336) 272-0855
Mailing address
1501 HIGHWOODS BLVD STE 101, GREENSBORO, NC 27410-2051
(336) 272-0855

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5785
NC

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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