Individual
JESSE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 KEYSTONE DR, LEOMINSTER, MA 01453-1904
(978) 537-9327
Mailing address
27 WORSTED ST, UNIT 3A, FRANKLIN, MA 02038-3039
(978) 973-5150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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