Individual
CASSANDRA M BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2307 N VINEGATE CT, WICHITA, KS 67226-3655
(316) 516-8523
Mailing address
2307 N VINEGATE CT, WICHITA, KS 67226-3655
(316) 516-8523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4551
KS
Other
Enumeration date
01/24/2017
Last updated
07/19/2023
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