TARA ELISE BLAKE

BRENTWOOD, CA
NPI1548599111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  17555)
Enumeration Date2009-12-10
Last Update Date2022-01-03
Business Address
-- TARA ELISE BLAKE M.A.
142 PESCARA BLVD
BRENTWOOD, CA 94513-2991
Phone number: 530-518-9991
Mailing Address
-- TARA ELISE BLAKE M.A.
142 PESCARA BLVD
BRENTWOOD, CA 94513-2991
Phone number: 530-518-9991
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