Individual
HEATHER BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 N LOWELL RD, WINDHAM, NH 03087-1661
(160) 370-2352
Mailing address
35 N LOWELL RD, WINDHAM, NH 03087-1661
(160) 370-2352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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