JUSTIN BLAKE, LCSW

Social Worker - Clinical

Active Individual
NPI: 1932821956

Practice Address

2393 BOULDER CHASE DR
Ellenwood, GA 30294

Phone: (305) 972-7007

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes SW17317 (FL)

Frequently Asked Questions

NPI 1932821956 is the National Provider Identifier for JUSTIN BLAKE, LCSW, a Social Worker - Clinical provider located in Ellenwood, GA. This NPI was enumerated on September 15, 2022.
JUSTIN BLAKE, LCSW practices at 2393 BOULDER CHASE DR, Ellenwood, GA 30294.

Quick Facts

NPI
1932821956
Type
Individual
Enumerated
Sep 15, 2022
Last Updated
Sep 15, 2022

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