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1033122643
DANA J BLAKE
LANSING, MI
NPI
1033122643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801064925)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- DANA J BLAKE ACSW
3960 PATIENT CARE WAY SUITE 101
LANSING, MI 48911-4275
Phone number: 517-882-3732
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Mailing Address
-- DANA J BLAKE ACSW
PO BOX 10
MASON, MI 48854-0010
Phone number: 517-676-9788
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