Raven Blake
Raven Blake is a Speech-Language Pathologist in Tallahassee, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
214 S Bronough StTallahassee, FL 32301-1705
Phone: (850) 448-1477
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1992545180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2024 |
| Last updated in NPPES | May 28, 2024 |
| Certification date | May 27, 2024 |
| Mailing address | 1423 N Bronough St, Tallahassee, FL 32303-5428 |
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