TIANA BLAKE

LOUISBURG, NC
NPI1275141483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  P014861)
Enumeration Date2020-07-14
Last Update Date2020-07-14
Business Address
TIANA BLAKE
9033 LAKE ROYALE
LOUISBURG, NC 27549-7208
Phone number: 252-477-0008
Mailing Address
TIANA BLAKE
127 FILIGREE WAY
DURHAM, NC 27713-5849
Phone number: 929-724-6626
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