Whitney S Blakely PC

NPI #1184378762 in Rockford, Illinois

Provider Information

NPI Number: 1184378762
Entity Type: Organization
Organization Name: Whitney S Blakely PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 11, 2022
Last Updated: Feb 11, 2022

Practice Location

Address: 415 S MULFORD RD
City: Rockford
State: Illinois
ZIP Code: 61108-3011
Phone: (815) 979-8164

Authorized Official

Name: MRS. WHITNEY S BLAKELY, LCSW
Title: THERAPIST
Phone: (815) 979-8164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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