Individual
MS. BLAKE ASHLEY FARNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250B ROUTE 25A, SHOREHAM, NY 11786-2106
(631) 291-1570
Mailing address
23 COMMERCIAL AVE, OAKDALE, NY 11769-1302
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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