Individual
KATHLEEN BLACKLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 PARK ST, ATTLEBORO, MA 02703-3143
(508) 236-8037
(508) 236-8031
Mailing address
353 CENTRAL AVE, SEEKONK, MA 02771-3922
(508) 399-8292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1923
MA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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