Tiana Blake
Tiana Blake is a Clinical Social Worker in Louisburg, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2020
Practice location Address checks out
9033 Lake RoyaleLouisburg, NC 27549-7208
Phone: (252) 477-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence P014861 (NC) |
|---|
Record details
| NPI number | 1275141483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2020 |
| Last updated in NPPES | July 14, 2020 |
| Certification date | July 14, 2020 |
| Mailing address | 127 Filigree Way, Durham, NC 27713-5849 |
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