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1629596416
ROXANNE CAROLYN BLAKE
CRANFORD, NJ
NPI
1629596416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC05741200)
Enumeration Date
2017-08-31
Last Update Date
2017-08-31
Business Address
ROXANNE CAROLYN BLAKE LCSW
198 NORTH AVE E
CRANFORD, NJ 07016-2469
Phone number: 908-272-0006
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Mailing Address
ROXANNE CAROLYN BLAKE LCSW
609A BRITTON ST
ELIZABETH, NJ 07202-2716
Phone number: 857-544-6995
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