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Individual

MS. BLAKE CARY SCYOCURKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Mailing address
51 SOUTHWOOD DR, LUDLOW, MA 01056-1632
(413) 589-9447

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111629
MA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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