Marcy Blake
NPI #1245338680 in Richardson, Texas
Provider Information
- NPI Number
- 1245338680
- Entity Type
- Individual
- Name
- Marcy Blake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 2150 LAKESIDE BLVD
- Address 2
- SUITE 100
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-4302
- Phone
- (972) 437-4698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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