Individual
MOLLY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
Mailing address
3003 CARLISLE ST APT 511, DALLAS, TX 75204-1164
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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