MRS. Tricia Blakely, LCSW

NPI #1518097559 in Portland, Indiana

Provider Information

NPI Number
1518097559
Entity Type
Individual
Name
MRS. Tricia Blakely, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 7, 2007
Last Updated
Nov 25, 2014

Practice Location

Address
931 W WATER ST
State
Indiana
ZIP Code
47371-1755
Phone
(765) 288-1928

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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