Nicholle Blaine

NPI #1972052892 in Ware, Massachusetts

Provider Information

NPI Number: 1972052892
Entity Type: Individual
Name: Nicholle Blaine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 4, 2016
Last Updated: Oct 4, 2016

Practice Location

Address: 76 MAIN STREET
City: Ware
State: Massachusetts
ZIP Code: 01082
Phone: (413) 747-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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