BLAKE DAVIS

AUSTIN, TX
NPI1699140442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  54097)
Enumeration Date2015-12-04
Last Update Date2015-12-04
Business Address
-- BLAKE DAVIS LCSW
813 W 11TH ST STE B
AUSTIN, TX 78701-2058
Phone number: 512-554-4035
Mailing Address
-- BLAKE DAVIS LCSW
813 W 11TH ST STE B
AUSTIN, TX 78701-2058
Phone number: 512-554-4035
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