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Laura Blake, LPC

NPI 1558302430 · on the registry since 2006 · sole proprietor

Practice

Address
4607 Maccorkle Ave Sw
Suite 305
Charleston, WV 25309
Phone
(304) 767-7820
Fax
(304) 767-7829
Organisation at this address
South Charleston Pediatrics
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia