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1154048296
NATICA BLAKE LLC
ANSONIA, CT
NPI
1154048296
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Entity Type
Organization
Authorized Contact
NATICA BLAKE
Therapist
203-800-2176
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
NATICA BLAKE LLC
145 TREMONT ST
ANSONIA, CT 06401-1959
Phone number: 203-800-2176
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Mailing Address
NATICA BLAKE LLC
1204 MAIN ST # 721
BRANFORD, CT 06405-3787
Phone number: 203-800-2176
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