Individual
ELLIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4686
Mailing address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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