Leslie D Blake, LSW

NPI #1225578842 in Dover, Ohio

Provider Information

NPI Number: 1225578842
Entity Type: Individual
Name: Leslie D Blake, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 659 BOULEVARD ST
City: Dover
State: Ohio
ZIP Code: 44622-2026
Phone: (330) 343-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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