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1902319809
BLAKE JAMES MACKIE
CHICAGO, IL
NPI
1902319809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023395)
Enumeration Date
2017-11-14
Last Update Date
2024-01-03
Business Address
BLAKE JAMES MACKIE LCSW
2650 W MONTROSE AVE STE 102
CHICAGO, IL 60618-1562
Phone number: 773-377-5261
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Mailing Address
BLAKE JAMES MACKIE LCSW
2650 W MONTROSE AVE STE 102
CHICAGO, IL 60618-1562
Phone number: 773-377-5261
Copy
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