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Individual

MS. ANGELA MONICA BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWC

Contact information

Practice address
106 MILFORD ST, SALISBURY, MD 21804-6953
(443) 783-0624
(443) 783-0624
Mailing address
106 MILFORD ST, SALISBURY, MD 21804-6953
(410) 742-6016

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13147
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100103635
AMERICAN PSYCH SYSTEM
MD
01
384856
MANAGED HEALTH NETWORK
MD
01
517251
UHC MAMSI
01
600014-351
MAGELLAN BEHAVIORAL HEALT
MD
05
609550001
MD
01
724338
NCPPO PIN
01
LM49EA
CAREFIRST BCBS GROUP
MD
01
R968
CAREFIRST FEDERAL GROUP
Enumeration date
10/06/2006
Last updated
02/12/2016
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