MS. Melissa L Blaque

NPI #1225217706 in Seymour, Tennessee

Provider Information

NPI Number
1225217706
Entity Type
Individual
Name
MS. Melissa L Blaque
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 31, 2007
Last Updated
Oct 31, 2007

Practice Location

Address
1016 I.C. KING RD.
Address 2
BROOKHAVEN RETREAT
ZIP Code
37865
Phone
(865) 573-3656

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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