Individual
BLAKE ANTHONY CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2233 UNIVERSITY AVE W STE 210, SAINT PAUL, MN 55114-1698
(651) 493-3945
(612) 699-0676
Mailing address
2233 UNIVERSITY AVE W STE 210, SAINT PAUL, MN 55114-1698
(651) 493-3945
(612) 699-0676
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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