Colleen M Blake, LCPC

NPI #1710298443 in Geneva, Illinois

Provider Information

NPI Number: 1710298443
Entity Type: Individual
Name: Colleen M Blake, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCPC
Enumeration Date: Jun 28, 2010
Last Updated: Nov 10, 2011

Practice Location

Address: 1120 RANDALL CT
City: Geneva
State: Illinois
ZIP Code: 60134-3911
Phone: (630) 232-1070

Specialties & Taxonomy Codes

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

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