Individual
DR. KATHLEEN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
60 BROADWAY, DENVILLE, NJ 07834-2765
(862) 209-4888
(862) 209-4889
Mailing address
60 BROADWAY, DENVILLE, NJ 07834-2765
(862) 209-4888
(862) 209-4889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00463500
NJ
Other
Enumeration date
08/15/2006
Last updated
02/22/2011
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