Dia Laquan Blake

NPI #1417609090 in Berea, Ohio

Provider Information

NPI Number
1417609090
Entity Type
Individual
Name
Dia Laquan Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 25, 2022
Last Updated
Jan 25, 2022

Practice Location

Address
398 W BAGLEY RD
City
Berea
State
Ohio
ZIP Code
44017-1369
Phone
(216) 340-0011

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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