Individual
ALEXANDRA BLAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CDCA.181269
OH
Other
Enumeration date
07/13/2022
Last updated
11/05/2024
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