Individual
HOLLI BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
155725
AK
Other
Enumeration date
06/24/2019
Last updated
01/07/2025
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