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1275102055
KENDALL BLAKE
ATLANTA, GA
NPI
1275102055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007008)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
KENDALL BLAKE LCSW
1778 CENTURY BLVD NE STE A
ATLANTA, GA 30345-3398
Phone number: 202-352-5891
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Mailing Address
KENDALL BLAKE LCSW
1778 CENTURY BLVD NE STE A
ATLANTA, GA 30345-3398
Phone number: 202-352-5891
Copy
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