Individual
MRS. JESSICA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3100 E AVE NW, SUITE 101, CEDAR RAPIDS, IA 52405-2962
(319) 396-1066
Mailing address
3100 E AVE NW, SUITE 101, CEDAR RAPIDS, IA 52405-2962
(319) 396-1066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06700
IA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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