Individual
CATHARINE A. BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
63 PARK ST, ANDOVER, MA 01810-3662
(978) 551-8475
(978) 551-8474
Mailing address
63 PARK ST, ANDOVER, MA 01810-3662
(978) 551-8475
(978) 551-8474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113813
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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