Travis Blake
Travis Blake is a Social Worker in Worcester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
340 Main St Ste 818Worcester, MA 01608-1692
Phone: (508) 791-4976
Fax: (508) 791-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1952730715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2013 |
| Last updated in NPPES | November 2, 2013 |
| Mailing address | 340 Main St Ste 818, Worcester, MA 01608-1692 |
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