Individual
MRS. CAROLINE ELIZABETH BLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 HAMPSHIRE ST, QUINCY, IL 62301-3153
(408) 386-2338
Mailing address
2323 HAMPSHIRE ST, QUINCY, IL 62301-3153
(408) 386-2338
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2632400
IL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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