ELAINE TRAVERS BLAKE

SOMERVILLE, MA
NPI1033759006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  669)
Enumeration Date2020-01-08
Last Update Date2020-01-08
Business Address
ELAINE TRAVERS BLAKE LCSW
16 HIGHLAND AVE
SOMERVILLE, MA 02143-1933
Phone number: 617-623-5277
Mailing Address
ELAINE TRAVERS BLAKE LCSW
16 HIGHLAND AVE
SOMERVILLE, MA 02143-1933
Phone number: 617-623-5277
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