MARIBETH BLAKE

GREEN BAY, WI
NPI1164627006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  1043-154)
Enumeration Date2007-06-20
Last Update Date2007-07-08
Business Address
-- MARIBETH BLAKE M.S.CCC-SLP
2801 S WEBSTER AVE
GREEN BAY, WI 54301-2878
Phone number: 920-337-1122
Mailing Address
-- MARIBETH BLAKE M.S.CCC-SLP
1527 GJERPEN LN
MANITOWOC, WI 54220-9765
Phone number:
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