Dana J Blake ACSW

NPI 1033122643 - Social Worker - 104100000X

NPI Details
NPI 1033122643
Gender Male
Enumeration Date 08/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3960 PATIENT CARE WAY
SUITE 101
LANSING MI, 48911-4275, US
Phone (517) 882-3732
Fax (517) 882-3633
Business Location
PO BOX 10
MASON MI, 48854-0010, US
Phone (517) 676-9788
Fax (517) 676-3438
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801064925
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According to our database, Dana J Blake ACSW NPI is 1033122643, taxonomy code is 104100000X and license number is 6801064925, license state is located at Michigan. Dana J Blake ACSW physically located at 3960 Patient Care Way, Lansing MI, 48911-4275. NPI Number Dana J Blake ACSW has the Individual type.

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1033122643 NPI number is provided on an as is basis without warranty of any kind. 1033122643 is maintained by the National Plan & Provider Enumeration System. The contents of Dana J Blake ACSW are for informational purposes only.