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Individual

MS. BLAKE KELLI JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(231) 220-7082
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(231) 220-7082

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
09/08/2020
Last updated
06/01/2026
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