Individual
MRS. KEDECIA BLAKE-DOUMBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S SPRINGFIELD RD APT K4, CLIFTON HEIGHTS, PA 19018-2225
(484) 687-3895
Mailing address
22 S SPRINGFIELD RD APT K4, CLIFTON HEIGHTS, PA 19018-2225
(484) 687-3895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
03/23/2026
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