JACQUELINE MARGARET BLAKE

PONTIAC, MI
NPI1386799070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301009441)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- JACQUELINE MARGARET BLAKE MA, LPC, LLP
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
Mailing Address
-- JACQUELINE MARGARET BLAKE MA, LPC, LLP
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766