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1013142991
JESSICA BLAKE
CEDAR RAPIDS, IA
NPI
1013142991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 06700)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
Mrs. JESSICA BLAKE LISW
3100 E AVE NW SUITE 101
CEDAR RAPIDS, IA 52405-2962
Phone number: 319-396-1066
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Mailing Address
Mrs. JESSICA BLAKE LISW
3100 E AVE NW SUITE 101
CEDAR RAPIDS, IA 52405-2962
Phone number: 319-396-1066
Copy
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