Travis Blake
NPI #1952730715 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1952730715
- Entity Type
- Individual
- Name
- Travis Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Nov 2, 2013
- Last Updated
- Nov 2, 2013
Practice Location
- Address
- 340 MAIN ST STE 818
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1692
- Phone
- (508) 791-4976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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