Individual
MR. ROBERT QUINCY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1204 PAUL DR, CEDAR HILL, TX 75104-6216
(972) 948-1291
Mailing address
1204 PAUL DR, CEDAR HILL, TX 75104-6216
(972) 291-6324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
42060
TX
Other
Enumeration date
12/23/2006
Last updated
06/05/2012
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