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Individual

LORI M BLAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
322 CEDARWOOD HALL, VALHALLA, NY 10595
(914) 493-9719
Mailing address
97 WILSON DR, NEW ROCHELLE, NY 10801-4601

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/25/2012
Last updated
06/25/2012
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