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Individual

CALVES V BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BACHELOR'S DEGREE

Contact information

Practice address
2323 LAKE CLUB DR STE 301, COLUMBUS, OH 43232-3198
(614) 456-4999
(866) 496-2680
Mailing address
2323 LAKE CLUB DR STE 301, COLUMBUS, OH 43232-3198
(614) 456-4999
(866) 496-2680

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
0018205
WI

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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