Individual
BLAKE ANGOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
6773 W MAPLE RD, MAPLEGROVE CENTER, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6535
(248) 661-6165
Mailing address
538 S CHOCOLAY AVE, CLAWSON, MI 48017-1811
(248) 435-8133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801019252
MI
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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