ANDRA CONIECE BLAKE

COMMERCE, CA
NPI1295803328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Miss ANDRA CONIECE BLAKE mfti
1500 S MCDONNELL AVE
COMMERCE, CA 90040-5623
Phone number: 323-981-4322
Mailing Address
Miss ANDRA CONIECE BLAKE mfti
11702 MENLO AVE APT. #10
HAWTHORNE, CA 90250-2585
Phone number: 323-981-4322