MEGAN BLAKE

PROVIDENCE, RI
NPI1396944534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2007-07-17
Last Update Date2007-07-17
Business Address
-- MEGAN BLAKE
765 ALLENS AVE
PROVIDENCE, RI 02905-5443
Phone number: 401-490-8900
Mailing Address
-- MEGAN BLAKE
765 ALLENS AVE
PROVIDENCE, RI 02905-5443
Phone number:
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