Anthonette Blake Valid NPI
Individual provider · Clinical Social Worker · Ashtabula, OH
- NPI
- 1891200432
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- I.2305042 (OH)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-12-05
- Last updated
- 2024-01-03
Practice location
2801 C Ct
Ashtabula, OH 44004-4577
(440) 998-4210