LARRY M. ALI BLAKE

JERSEY CITY, NJ
NPI1720239726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC00522800)
Enumeration Date2008-10-08
Last Update Date2008-10-08
Business Address
Mr. LARRY M. ALI BLAKE LCSW
75 HARRISON AVE FIRST FLOOR
JERSEY CITY, NJ 07304-2555
Phone number: 201-451-5425
Mailing Address
Mr. LARRY M. ALI BLAKE LCSW
75 HARRISON AVE FIRST FLOOR
JERSEY CITY, NJ 07304-2555
Phone number: 201-451-5425
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