SHAKEYA TYNEICE BLAKES

SHELTON, CT
NPI1114748951
Former NameSHAKEYA TYNEICE BLAKES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CT  00000000000)
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
SHAKEYA TYNEICE BLAKES
1 ENTERPRISE DR STE 415
SHELTON, CT 06484-4631
Phone number: 203-255-5078
Mailing Address
SHAKEYA TYNEICE BLAKES
26 CRESCENT ST
ANSONIA, CT 06401-2161
Phone number: 203-400-7304
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