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1457476301
KRISTINE D. BLAKE
TACOMA, WA
NPI
1457476301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00007353)
Enumeration Date
2007-03-20
Last Update Date
2019-04-16
Business Address
KRISTINE D. BLAKE L.I.C.S.W.
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-4146
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Mailing Address
KRISTINE D. BLAKE L.I.C.S.W.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
TACOMA, WA 98371-1100
Phone number:
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