DIANE BLAKE, LCSW

Social Worker - Clinical

Active Individual
NPI: 1437502903

Practice Address

80 EUREKA SQ
SUITE 151
Pacifica, CA 94044

Phone: (650) 713-5224

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCS 24542 (CA)

Frequently Asked Questions

NPI 1437502903 is the National Provider Identifier for DIANE BLAKE, LCSW, a Social Worker - Clinical provider located in Pacifica, CA. This NPI was enumerated on July 19, 2016.
DIANE BLAKE, LCSW practices at 80 EUREKA SQ, SUITE 151, Pacifica, CA 94044.

Quick Facts

NPI
1437502903
Type
Individual
Enumerated
Jul 19, 2016
Last Updated
Sep 29, 2016

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