SHANNON BLAKE

ORLANDO, FL
NPI1376488049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2026-04-21
Last Update Date2026-04-21
Business Address
SHANNON BLAKE
1004 MONTANA ST
ORLANDO, FL 32803-2522
Phone number: 321-431-5092
Mailing Address
SHANNON BLAKE
1004 MONTANA ST
ORLANDO, FL 32803-2522
Phone number: 321-431-5092
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