AMANDA MAE BLAKE

DAYTON, OH
NPI1306509211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  186070)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-10-18
Last Update Date2024-02-15
Business Address
AMANDA MAE BLAKE
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417-3445
Phone number: 937-401-8672
Mailing Address
AMANDA MAE BLAKE
1628 SPRINGFIELD ST
DAYTON, OH 45403-1430
Phone number: 937-802-5440