KATHLEEN BLAKE

OMAHA, NE
NPI1407401185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  3113)
Additional Taxonomies251S00000X 
Enumeration Date2019-08-08
Last Update Date2022-09-29
Business Address
KATHLEEN BLAKE
13322 I ST
OMAHA, NE 68137-1111
Phone number: 402-230-5861
Mailing Address
KATHLEEN BLAKE
13322 I ST
OMAHA, NE 68137-1111
Phone number: 402-230-5861
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