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1053479428
SUSAN A BLAKE
ANDERSON, IN
NPI
1053479428
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Former Name
SUSAN LAPIERRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2006-12-05
Last Update Date
2014-09-17
Business Address
-- SUSAN A BLAKE LCSW
2020 BROWN ST
ANDERSON, IN 46016-4218
Phone number: 765-649-8161
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Mailing Address
-- SUSAN A BLAKE LCSW
9615 E 148TH ST SUITE 1
NOBLESVILLE, IN 46060-4360
Phone number: 317-587-0533
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