Individual
YVONNE BLAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18260 VAUGHAN ST, DETROIT, MI 48219-5712
(313) 531-4834
Mailing address
18260 VAUGHAN ST, DETROIT, MI 48219-5712
(313) 531-4834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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