Individual
LINDA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
314 NORTH DIVISION, CLEVELAND, OK 74020-3426
(918) 513-2227
Mailing address
314 NORTH DIVISION, CLEVELAND, OK 74020-3426
(918) 513-2227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
475
OK
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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