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Individual

ASHLEY BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7750 CLAYTON RD STE 300, RICHMOND HEIGHTS, MO 63117-1341
(314) 485-7344
Mailing address
7750 CLAYTON RD STE 300, RICHMOND HEIGHTS, MO 63117-1341
(314) 485-7344

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149016082
IL
1041C0700X
Clinical Social Worker
Primary
2017015304
MO

Other

Enumeration date
09/29/2014
Last updated
07/12/2021
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