BLAKE BETTIS

MADISON, WI
NPI1003650813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: WI  5124-57)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
BLAKE BETTIS PSYD
1750 FORDEM AVE APT 704
MADISON, WI 53704-7135
Phone number: 470-331-2534
Mailing Address
BLAKE BETTIS PSYD
1750 FORDEM AVE APT 704
MADISON, WI 53704-7135
Phone number: 470-331-2534
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