KARLA ANNETTE BLAKE

HERRIN, IL
NPI1558484287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- KARLA ANNETTE BLAKE DT
858 STARLIGHT CT
HERRIN, IL 62948-2445
Phone number: 618-942-5096
Mailing Address
-- KARLA ANNETTE BLAKE DT
858 STARLIGHT CT
HERRIN, IL 62948-2445
Phone number: 618-942-5096
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