Individual
ASHLEY STEPHENS BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-2000
Mailing address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-5389
(919) 764-5822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013624
NC
Other
Enumeration date
11/07/2018
Last updated
09/16/2021
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