JACQUELINE BLAKE

FAIRFAX, VA
NPI1902282684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904009033)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
-- JACQUELINE BLAKE LCSW
8221 WILLOW OAKS CORPORATE DR 2-217E.01
FAIRFAX, VA 22031-4512
Phone number: 703-207-6976
Mailing Address
-- JACQUELINE BLAKE LCSW
8221 WILLOW OAKS CORPORATE DR 2-217E.01
FAIRFAX, VA 22031-4512
Phone number: 703-207-6976
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