Individual
MRS. ELEXUD S BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 PEACH TREE CRES, NEWPORT NEWS, VA 23602-7494
(706) 312-9486
Mailing address
323 PEACH TREE CRES, NEWPORT NEWS, VA 23602-7494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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