Individual
AMANDA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 36TH AVE NW, NORMAN, OK 73072-4746
(405) 701-0547
Mailing address
2804 DEWEY AVE APT 201, NORMAN, OK 73072-7830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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