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1346724986
STEVEN ROBERT BLAKE
BERKELEY, CA
NPI
1346724986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16655)
Enumeration Date
2018-09-19
Last Update Date
2023-11-17
Business Address
STEVEN ROBERT BLAKE LCSW
7515 CLAREMONT AVE
BERKELEY, CA 94705-1432
Phone number: 510-520-5944
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Mailing Address
STEVEN ROBERT BLAKE LCSW
7515 CLAREMONT AVE
BERKELEY, CA 94705-1432
Phone number: 510-520-5944
Copy
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