Ronald Elmer Blake SR.

NPI #1588797153 in Rawlins, Wyoming

Provider Information

NPI Number
1588797153
Entity Type
Individual
Name
Ronald Elmer Blake SR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
721 W MAPLE ST
State
Wyoming
ZIP Code
82301-5447
Phone
(307) 324-7156

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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