KATIE BLAKE

SANTA ROSA, CA
NPI1104375393
Other NameKATE BLAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  93792)
Enumeration Date2016-09-28
Last Update Date2023-04-13
Business Address
KATIE BLAKE LCSW
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-483-0588
Mailing Address
KATIE BLAKE LCSW
1275 4TH ST # 4011
SANTA ROSA, CA 95404-4057
Phone number: 707-908-9790
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