Latoria Blake

NPI #1285147124 in Lake City, South Carolina

Provider Information

NPI Number: 1285147124
Entity Type: Individual
Name: Latoria Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 14, 2017
Last Updated: Nov 14, 2017

Practice Location

Address: 675 N MATTHEWS RD
City: Lake City
State: South Carolina
ZIP Code: 29560-7027
Phone: (843) 394-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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