Kristal Blake

NPI #1497123970 in Saint Albans, New York

Provider Information

NPI Number
1497123970
Entity Type
Individual
Name
Kristal Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 14, 2015
Last Updated
Sep 14, 2015

Practice Location

Address
20517 115TH AVE
ZIP Code
11412-2903
Phone
(917) 273-3231

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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