Individual
AMY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 NORTH AVE, SUITE 30, SKOWHEGAN, ME 04976-1942
(207) 858-0067
Mailing address
2046 N BELFAST AVE, AUGUSTA, ME 04330-4373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC-10481
ME
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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