Diane Blake, LCSW

NPI #1437502903 in Pacifica, California

Provider Information

NPI Number
1437502903
Entity Type
Individual
Name
Diane Blake, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 19, 2016
Last Updated
Sep 29, 2016

Practice Location

Address
80 EUREKA SQ
Address 2
SUITE 151
ZIP Code
94044-2654
Phone
(650) 713-5224

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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