NICHELLE CATHERINE BLAKESLEY

WATERLOO, IA
NPI1184384455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  111242)
Enumeration Date2021-12-28
Last Update Date2021-12-28
Business Address
NICHELLE CATHERINE BLAKESLEY
604 LAFAYETTE ST
WATERLOO, IA 50703-4708
Phone number: 833-370-0719
Mailing Address
NICHELLE CATHERINE BLAKESLEY
604 LAFAYETTE ST
WATERLOO, IA 50703-4708
Phone number: 833-370-0719