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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

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