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Individual

KATIE ADOLPH-BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8909 W. 11 MILE RD, HUNTINGTON WOODS, MI 48070-1219
(330) 310-6112
Mailing address
8909 W 11 MILE RD, HUNTINGTON WOODS, MI 48070-1219
(330) 310-6112

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
20003067
MI

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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