Nancy Blake, LCSW Valid NPI

Individual provider · Clinical Social Worker · Upper Saddle River, NJ

NPI

1124453378

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05512500 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-09-06

Last updated

2013-09-06