Organization
JAMILIA BLAKE
Active
Other names
ALR Psychological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMILIA BLAKE PH.D. (OWNER)
(404) 725-2592
Entity
Organization
Contact information
Practice address
207 ROCK PRAIRIE RD, SUITE B, COLLEGE STATION, TX 77845-8777
(404) 725-2592
Mailing address
PO BOX 12173, COLLEGE STATION, TX 77842-2173
(404) 725-2592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36053
TX
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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