SHANTERICA BLAKE

COLUMBUS, OH
NPI1154084812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OH  C.2003028)
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
SHANTERICA BLAKE
1515 INDIANOLA AVE
COLUMBUS, OH 43201-2118
Phone number: 614-294-2661
Mailing Address
SHANTERICA BLAKE
87 N WESTMOOR AVE APT 1
COLUMBUS, OH 43204-1351
Phone number: 205-331-6646
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