Amy M Blake, MSW, LCSW
NPI #1164407367 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1164407367
- Entity Type
- Individual
- Name
- Amy M Blake, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- Dec 9, 2005
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 980 PARKSIDE VILLAGE LN
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3098
- Phone
- (884) 031-0718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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