Mrs. Jeanine M. Blake LCSW-C - Clinical Social Worker in Baltimore, Maryland | ProviderWire

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Clinical Social Worker
Maryland
Baltimore
Mrs. Jeanine M. Blake LCSW-C

Full Name

Mrs. Jeanine Marie-byrne Blake LCSW-C

NPI Number

1063854958

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/22/2013

Specialties

(Taxonomies)

Name

Clinical Social Worker

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

12737

Contact
Information

Purpose

Mailing

Location

Address

6802 MCCLEAN BLVD

6802 MCCLEAN BLVD

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21234-7260

21234-7260

Country

US

US

Telephone Number

(410) 570-6661

(410) 570-6661

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/22/2013

Provider Address

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