JILL BLAKE

SIOUX CITY, IA
NPI1447601133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  12122)
Enumeration Date2016-06-24
Last Update Date2016-06-24
Business Address
-- JILL BLAKE IADC
3500 W 4TH ST
SIOUX CITY, IA 51103-3203
Phone number: 712-226-1801
Mailing Address
-- JILL BLAKE IADC
3500 W 4TH ST
SIOUX CITY, IA 51103-3203
Phone number: 712-226-1801
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