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1558085670
JENNIFER L BLAKE
FORT WORTH, TX
NPI
1558085670
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Former Name
JENNIFER L CASTLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 50818)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
JENNIFER L BLAKE LCSW
2501 PARKVIEW DR
FORT WORTH, TX 76102-5824
Phone number: 817-924-2732
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Mailing Address
JENNIFER L BLAKE LCSW
5009 POINTCLEAR CT
ARLINGTON, TX 76017-1963
Phone number: 469-585-5551
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