Individual
KELSEY ANNE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11350 PEMBROOKE SQ, WALDORF, MD 20603-4809
(301) 885-0033
Mailing address
25727 JONES WHARF RD, HOLLYWOOD, MD 20636-2436
(435) 262-7166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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