Individual
LAUREN A BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Mailing address
309 DURINGTON PL, CARY, NC 27518-6834
(919) 801-3615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9697
NC
Other
Enumeration date
07/10/2012
Last updated
08/25/2025
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