Blake, Miranda Marie

Blake, Miranda Marie is an sole proprietor health care provider with primary practice located at 1313 41St St , Anacortes WA 98221-3512. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blake, Miranda Marie can be contacted via phone (360) 503-1556.

Contact Information

Primary practice address
1313 41St St Anacortes WA 98221-3512
Phone: (360) 503-1556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL0004514 Washington

Profile Details

NPI number 1477002293
LBN Legal business name Blake, Miranda Marie
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2016
Last updated Sep 22nd, 2016 - about 10 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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