BLAKE STEVENS

ELLSWORTH, ME
NPI1689029423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  ST2423)
Enumeration Date2016-04-29
Last Update Date2016-04-29
Business Address
-- BLAKE STEVENS
19 GENERAL MOORE WAY
ELLSWORTH, ME 04605-1860
Phone number: 207-667-9336
Mailing Address
-- BLAKE STEVENS
19 GENERAL MOORE WAY
ELLSWORTH, ME 04605-1860
Phone number: 207-667-9336