Individual
BLAKE DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8500 STATION ST, MENTOR, OH 44060-4943
(216) 245-7688
Mailing address
8500 STATION ST, MENTOR, OH 44060-4943
(216) 245-7688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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