Ciara Nicole Blake, LISW

NPI #1215413968 in Moraine, Ohio

Provider Information

NPI Number: 1215413968
Entity Type: Individual
Name: Ciara Nicole Blake, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Jul 16, 2018
Last Updated: Sep 17, 2021

Practice Location

Address: 3095 KETTERING BLVD
City: Moraine
State: Ohio
ZIP Code: 45439-1983
Phone: (937) 293-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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