Individual
CYNTHIA J. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 N MAPLE AVE STE 201, RIDGEWOOD, NJ 07450-3261
(201) 554-1998
(201) 554-1996
Mailing address
54 HILL ST, MIDLAND PARK, NJ 07432-1637
(201) 554-1998
(201) 554-1996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06317900
NJ
Other
Enumeration date
05/01/2019
Last updated
11/21/2024
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