Individual
FRANK CARLTON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3851 ROGER BROOKE DRIVE, BAMC-MCHE (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-3710
Mailing address
3851 ROGER BROOKE DRIVE, BAMC-MCHE (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101092201
TX
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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