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1992749089
DANIEL BLAKE
HUNTINGTON WOODS, MI
NPI
1992749089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301005841)
Enumeration Date
2006-06-16
Last Update Date
2022-07-22
Business Address
Dr. DANIEL BLAKE Ph.D.
26789 WOODWARD AVE
HUNTINGTON WOODS, MI 48070-1335
Phone number: 248-398-3693
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Mailing Address
Dr. DANIEL BLAKE Ph.D.
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1865
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