TIMOTHY G BLAKE

MINNEAPOLIS, MN
NPI1568796613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  5115)
Enumeration Date2009-09-22
Last Update Date2021-03-11
Business Address
TIMOTHY G BLAKE LP
2649 PARK AVE
MINNEAPOLIS, MN 55407-1006
Phone number: 612-676-1604
Mailing Address
TIMOTHY G BLAKE LP
2649 PARK AVE
MINNEAPOLIS, MN 55407-1006
Phone number: 612-676-1604