Jamilia Blake

NPI #1225390594 in College Station, Texas

Provider Information

NPI Number
1225390594
Entity Type
Organization
Organization Name
Jamilia Blake
Primary Specialty
Psychologist
Enumeration Date
Jun 13, 2012
Last Updated
Jun 13, 2012

Practice Location

Address
207 ROCK PRAIRIE RD
Address 2
SUITE B
State
Texas
ZIP Code
77845-8777
Phone
(404) 725-2592

Authorized Official

Name
DR. JAMILIA BLAKE, PH.D.
Title
OWNER
Phone
(404) 725-2592

Specialties & Taxonomy Codes

Specialty
Psychologist

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