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1063124451
LISA BLAKE THERAPY LLC
OGDEN, UT
NPI
1063124451
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Entity Type
Organization
Authorized Contact
LISA BLAKE
Owner
801-695-5057
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-12-19
Last Update Date
2025-08-07
Business Address
LISA BLAKE THERAPY LLC
549 25TH ST STE 100
OGDEN, UT 84401-2491
Phone number: 801-695-5057
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Mailing Address
LISA BLAKE THERAPY LLC
1314 24TH ST
OGDEN, UT 84401-2902
Phone number: 801-695-5057
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