Individual
MRS. TERESA MARIE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
501 19TH ST, SUITE 304, KNOXVILLE, TN 37916-1854
(865) 541-2020
(865) 541-2019
Mailing address
501 19TH ST, SUITE 304, KNOXVILLE, TN 37916-1854
(865) 541-2020
(865) 541-2019
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
07/23/2008
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