Individual
MS. BARBARA ANN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
250 COMMERCIAL ST, SUITE 3004, MANCHESTER, NH 03101-1142
(603) 668-8666
Mailing address
13 TERRELL LN, HOLLIS, NH 03049-8509
(603) 881-5249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0165
NH
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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