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Individual

CHRISTIE BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNCS

Contact information

Practice address
300 LONGWOOD AVE, FEGAN 8, BOSTON, MA 02115-5724
(617) 355-6680
Mailing address
300 LONGWOOD AVE, FEGAN 8, BOSTON, MA 02115-5724
(617) 355-6680

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
263886
MA

Other

Enumeration date
09/22/2006
Last updated
08/20/2007
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