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1093842551
ANN BLAKE
CEDAR RAPIDS, IA
NPI
1093842551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 06535)
Enumeration Date
2007-02-28
Last Update Date
2009-01-06
Business Address
-- ANN BLAKE LISW
1730 1ST AVE NE
CEDAR RAPIDS, IA 52402-5433
Phone number: 319-365-3993
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Mailing Address
-- ANN BLAKE LISW
PO BOX 1408
CEDAR RAPIDS, IA 52406-1408
Phone number: 319-365-3993
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