Kelly Blake

NPI #1023466026 in Sacramento, California

Provider Information

NPI Number: 1023466026
Entity Type: Individual
Name: Kelly Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 31, 2016
Last Updated: Nov 5, 2021

Practice Location

Address: 100 HOWE AVE STE 170N
City: Sacramento
State: California
ZIP Code: 95825-8202
Phone: (415) 296-5290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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