JESSICA BLAKE

CEDAR RAPIDS, IA
NPI1013142991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  06700)
Enumeration Date2009-05-21
Last Update Date2009-05-21
Business Address
Mrs. JESSICA BLAKE LISW
3100 E AVE NW SUITE 101
CEDAR RAPIDS, IA 52405-2962
Phone number: 319-396-1066
Mailing Address
Mrs. JESSICA BLAKE LISW
3100 E AVE NW SUITE 101
CEDAR RAPIDS, IA 52405-2962
Phone number: 319-396-1066