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1972620110
JENNIFER KAY BLAKE
EUGENE, OR
NPI
1972620110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
(Licence: OR C5663)
Enumeration Date
2007-03-23
Last Update Date
2020-05-28
Business Address
JENNIFER KAY BLAKE MA
150 SHELTON MCMURPHEY BLVD STE 101
EUGENE, OR 97401-5015
Phone number: 541-210-8090
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Mailing Address
JENNIFER KAY BLAKE MA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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