| Justin Laron Blake, LCSW | |
|
2393 Boulder Chase Dr, Ellenwood, GA 30294-1687 | |
| (305) 972-7007 | |
| Not Available |
| Full Name | Justin Laron Blake |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2393 Boulder Chase Dr, Ellenwood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932821956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW007974 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW17317 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Laron Blake, LCSW 2393 Boulder Chase Dr, Ellenwood, GA 30294-1687 Ph: (305) 972-7007 | Justin Laron Blake, LCSW 2393 Boulder Chase Dr, Ellenwood, GA 30294-1687 Ph: (305) 972-7007 |
Rasha Kamil Portis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5514 Swanson Rd, Ellenwood, GA 30294 Phone: 404-889-7323 | |
Ms. Alieizoria Redd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 Morgans Trce, Ellenwood, GA 30294 Phone: 678-565-8596 | |
Charlene Turner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4093 Park Place Cir, Ellenwood, GA 30294 Phone: 404-244-1528 | |
Mrs. Darnyce House Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4053 Rockmill Cove, Ellenwood, GA 30294 Phone: 404-376-7117 Fax: 404-762-9101 | |
Dr. Naomi Hemphill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Kalsum Trl, Ellenwood, GA 30294 Phone: 678-367-9077 | |
Sandra Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Wilhelmina Dr, Ellenwood, GA 30294 Phone: 404-732-2220 |