Individual
MR. BLAKE S SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LISW
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-2662
Mailing address
4121 BEAVER CREST DR, DES MOINES, IA 50310-3414
(314) 456-8662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105997
IA
1041C0700X
Clinical Social Worker
Primary
2007035726
MO
Other
Enumeration date
08/05/2010
Last updated
06/23/2022
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