TISHA BLAKELEY

HOPKINSVILLE, KY
NPI1295157238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  5046)
Enumeration Date2014-01-10
Last Update Date2016-02-19
Business Address
-- TISHA BLAKELEY LCSW
735 NORTH DR
HOPKINSVILLE, KY 42240-2620
Phone number: 270-886-5163
Mailing Address
-- TISHA BLAKELEY LCSW
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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