AMANDA BLAKE, LICSW, MSSW
Social Worker - Clinical
Active
Individual
NPI: 1174773469
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 50864 (TX) |
| Social Worker - Clinical | 1041C0700X | Yes | 4753 (ND) |
Frequently Asked Questions
NPI 1174773469 is the National Provider Identifier for AMANDA BLAKE, LICSW, MSSW, a Social Worker - Clinical provider located in Grand Forks, ND. This NPI was enumerated on September 24, 2008.
AMANDA BLAKE, LICSW, MSSW practices at 2808 17TH AVE S, Grand Forks, ND 58201.
Quick Facts
- NPI
- 1174773469
- Type
- Individual
- Enumerated
- Sep 24, 2008
- Last Updated
- Oct 31, 2022
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