MIERRA MARY BLAKE

SACRAMENTO, CA
NPI1053003939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2023-05-22
Last Update Date2026-08-03
Business Address
MIERRA MARY BLAKE
7171 BOWLING DR
SACRAMENTO, CA 95823-2034
Phone number: 707-740-2420
Mailing Address
MIERRA MARY BLAKE
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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