Blake Mack
Blake Mack is a Counselor in Rock Island, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2701 17th StRock Island, IL 61201-5351
Phone: (309) 779-2031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1588319818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 2701 17th St, Rock Island, IL 61201-5351 |
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