MRS. Jessica Blake, LISW
NPI #1013142991 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1013142991
- Entity Type
- Individual
- Name
- MRS. Jessica Blake, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- May 21, 2009
- Last Updated
- May 21, 2009
Practice Location
- Address
- 3100 E AVE NW
- Address 2
- SUITE 101
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52405-2962
- Phone
- (319) 396-1066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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