Individual
LOGAN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 N WEST ST STE A, EASTON, MD 21601-2761
(443) 786-8910
Mailing address
418 CROWBERRY CIR, EASTON, MD 21601-3376
(443) 786-8910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25999
MD
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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