Individual
ASHLEY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 2ND ST, PINCONNING, MI 48650-8902
(989) 324-8924
Mailing address
700 W 2ND ST, PINCONNING, MI 48650-8902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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