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1104375393
KATIE BLAKE
SANTA ROSA, CA
NPI
1104375393
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Other Name
KATE BLAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 93792)
Enumeration Date
2016-09-28
Last Update Date
2023-04-13
Business Address
KATIE BLAKE LCSW
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-483-0588
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Mailing Address
KATIE BLAKE LCSW
1275 4TH ST # 4011
SANTA ROSA, CA 95404-4057
Phone number: 707-908-9790
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