Raven Blake
NPI #1992545180 in Tallahassee, Florida
Provider Information
- NPI Number
- 1992545180
- Entity Type
- Individual
- Name
- Raven Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 28, 2024
- Last Updated
- May 28, 2024
Practice Location
- Address
- 214 S BRONOUGH ST
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32301-1705
- Phone
- (850) 448-1477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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