Blake, Rebecca S

Blake, Rebecca S is an individual health care provider with primary practice located at 408 S 17Th St , Clinton OK 73601-4236. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Blake, Rebecca S can be contacted via phone (580) 323-0312.

Contact Information

Primary practice address
408 S 17Th St Clinton OK 73601-4236
Phone: (580) 323-0312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37V350170804 Oklahoma
Other Service Providers / Community Health Worker 172V00000X 37V350170804 Oklahoma

Profile Details

NPI number 1205098134
LBN Legal business name Blake, Rebecca S
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jul 22nd, 2008 - about 17 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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