KYLE ANDREW BLAKE

LOS ANGELES, CA
NPI1720559107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW76408)
Enumeration Date2018-12-11
Last Update Date2024-06-13
Business Address
KYLE ANDREW BLAKE LCSW
11500 NIMITZ AVE
LOS ANGELES, CA 90049-3566
Phone number: 424-832-8442
Mailing Address
KYLE ANDREW BLAKE LCSW
11500 NIMITZ AVE
LOS ANGELES, CA 90049-3566
Phone number: 424-832-8442
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