Individual
DR. MICHELLE EMERY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LCSW
Contact information
Practice address
223 DUNBAR CAVE RD, CLARKSVILLE, TN 37043-8830
(651) 313-8080
Mailing address
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8831
(651) 313-8080
(812) 488-2282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004767A
IN
1041C0700X
Clinical Social Worker
Primary
8160
TN
1041C0700X
Clinical Social Worker
KY-2081
KY
Other
Enumeration date
03/15/2007
Last updated
08/25/2023
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