Stephanie Kuulei Blake, LCSW

NPI #1649365362 in Orem, Utah

Provider Information

NPI Number: 1649365362
Entity Type: Individual
Name: Stephanie Kuulei Blake, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Oct 4, 2006
Last Updated: Feb 20, 2020

Practice Location

Address: 26 W HIDDEN HOLLOW DR
City: Orem
State: Utah
ZIP Code: 84058-7497
Phone: (801) 836-6760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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