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Individual

CIARA NICOLE BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
540 LITTLE YORK RD, DAYTON, OH 45414-1332
(937) 271-5020

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2002490
OH

Other

Enumeration date
07/16/2018
Last updated
09/17/2021
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