Lora Lynn Blake, LMSW

NPI #1992685945 in Macomb, Michigan

Provider Information

NPI Number: 1992685945
Entity Type: Individual
Name: Lora Lynn Blake, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Sep 2, 2025
Last Updated: Sep 2, 2025

Practice Location

Address: 50578 NESTING RIDGE DR
City: Macomb
State: Michigan
ZIP Code: 48044-1383
Phone: (586) 292-1359

Specialties & Taxonomy Codes

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

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