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1225520893
TAMMY LOUISE BLAKE
FREDERICK, MD
NPI
1225520893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 19684)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
TAMMY LOUISE BLAKE LCSW-C
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703-8655
Phone number: 301-663-8263
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Mailing Address
TAMMY LOUISE BLAKE LCSW-C
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703-8655
Phone number: 301-663-8263
Copy
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