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1215252630
PAMELA A BLAKE
EAST MORICHES, NY
NPI
1215252630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 018090)
Enumeration Date
2010-03-29
Last Update Date
2010-03-31
Business Address
Dr. PAMELA A BLAKE Ph.D.
451 MONTAUK HWY
EAST MORICHES, NY 11940-1357
Phone number: 631-255-5481
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Mailing Address
Dr. PAMELA A BLAKE Ph.D.
17 ANNETTE LN
EAST MORICHES, NY 11940-1508
Phone number: 631-255-5481
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