ADAM GARY BLAKE

LAWRENCEVILLE, NJ
NPI1609437227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NJ  44SC05869800)
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
ADAM GARY BLAKE LCSW
4 PRINCESS RD STE 206
LAWRENCEVILLE, NJ 08648-2322
Phone number: 609-482-3701
Mailing Address
ADAM GARY BLAKE LCSW
4 PRINCESS RD STE 206
LAWRENCEVILLE, NJ 08648-2322
Phone number: 609-482-3701