Bernadette M Blake, MA, MSW, LICSW
Social Worker, Clinical in Exeter, NH. Individual provider (NPI-1).
NPI number1225318579
StatusActive
Last updated in NPPESAug 18, 2011
Details
- NPI
- 1225318579
- Entity type
- Individual (NPI-1)
- Name
- Ms. Bernadette M Blake
- Credential
- MA, MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2011
- Last updated
- Aug 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1599 | NH | Yes |
Practice location
23 Oak StreetExeter, NH 03833
Phone 603-496-9939
Mailing address
23 Oak StreetExeter, NH 03833
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