Laura Blake

NPI #1316575368 in Medina, Ohio

Provider Information

NPI Number: 1316575368
Entity Type: Individual
Name: Laura Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 27, 2020
Last Updated: Mar 27, 2020

Practice Location

Address: 246 NORTHLAND DR STE 200A
City: Medina
State: Ohio
ZIP Code: 44256-3440
Phone: (330) 725-9195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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