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1922771765
KIMBERLEY BLAKE
BRIDGEPORT, CT
NPI
1922771765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 004945)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
KIMBERLEY BLAKE MA, NCC, LPC
140 JOHN ST
BRIDGEPORT, CT 06604-4323
Phone number: 203-450-9944
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Mailing Address
KIMBERLEY BLAKE MA, NCC, LPC
140 JOHN ST
BRIDGEPORT, CT 06604-4323
Phone number: 203-450-9944
Copy
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