KELLY BLAKE

SACRAMENTO, CA
NPI1023466026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  101468)
Additional Taxonomies104100000X Social Worker
(Licence: CA  74375)
Enumeration Date2016-05-31
Last Update Date2021-11-05
Business Address
KELLY BLAKE
100 HOWE AVE STE 170N
SACRAMENTO, CA 95825-8202
Phone number: 415-296-5290
Mailing Address
KELLY BLAKE
100 HOWE AVE STE 170N
SACRAMENTO, CA 95825-8202
Phone number: 916-831-0462