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1992589014
JUDIRAH I BLAKE
WESTAMPTON, NJ
NPI
1992589014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
JUDIRAH I BLAKE
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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Mailing Address
JUDIRAH I BLAKE
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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