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Individual

MS. BERNADETTE M BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MSW, LICSW

Contact information

Practice address
23 OAK STREET, EXETER, NH 03833
(603) 496-9939
Mailing address
23 OAK STREET, EXETER, NH 03833

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1599
NH

Other

Enumeration date
08/18/2011
Last updated
08/18/2011
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