Individual
JULIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 WASHINGTON ST, RAVENSWOOD, WV 26164-1729
(304) 868-6000
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 696-1623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943378
WV
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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