Individual
BLAKE ALAN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019031591
MO
Other
Enumeration date
05/15/2020
Last updated
12/17/2022
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