Individual
MISS ASHTON D. BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E PLEASANT HILL DR APT 108, GUTHRIE, OK 73044-3002
(918) 852-5583
Mailing address
207 E PLEASANT HILL DR APT 108, GUTHRIE, OK 73044-3002
(918) 852-5583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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