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Individual

JILL BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
29 MORGAN ST, OBERLIN, OH 44074-1535
(440) 707-6228
Mailing address
29 MORGAN ST, OBERLIN, OH 44074-1535
(440) 707-6228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406026
OH

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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