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Contact Information

BERNADETTE M BLAKE, MA, MSW, LICSW
23 OAK STREET
EXETER, NH03833
 Phone: 603-496-9939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for BERNADETTE M BLAKE · (Female)

NPI Number 1225318579
Status Active
Credentials MA, MSW, LICSW
Entity Individual
Enumeration date 08/18/2011
Last updated 08/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 1599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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