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Individual

BLAKE WOODWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA; CCC-SLP

Contact information

Practice address
161 EAST MAIN STREET, O'BRIEN SPEECH, LANGUAGE AND LEARNING PLLC, HUNTINGTON, NY 11743
(631) 423-7700
Mailing address
65 FORT HILL ROAD, HUNTINGTON, NY 11743

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015097-1
NY

Other

Enumeration date
11/05/2009
Last updated
11/05/2009
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