Blake, Maria Clark

Blake, Maria Clark is an individual health care provider with primary practice located at 3358 Morrison Ave , Cincinnati OH 45220-1434. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Maria Clark can be contacted via phone (513) 961-1555.

Contact Information

Primary practice address
3358 Morrison Ave Cincinnati OH 45220-1434
Phone: (513) 961-1555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3423 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 399 Kentucky

Profile Details

NPI number 1316932049
LBN Legal business name Blake, Maria Clark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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