Individual
MRS. MELISSA ELAINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
60 PERSERVERANCE WAY, HYANNIS, MA 02601-1843
(508) 815-5113
(508) 862-9023
Mailing address
60 PERSERVERANCE WAY, HYANNIS, MA 02601-1843
(508) 815-5113
(508) 862-9023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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