DIANE BLAKE

PACIFICA, CA
NPI1437502903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 24542)
Enumeration Date2016-07-19
Last Update Date2016-09-29
Business Address
-- DIANE BLAKE LCSW
80 EUREKA SQ SUITE 151
PACIFICA, CA 94044-2654
Phone number: 650-713-5224
Mailing Address
-- DIANE BLAKE LCSW
80 EUREKA SQ SUITE 151
PACIFICA, CA 94044-2654
Phone number: 650-713-5224
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