STEPHANIE BLAKE

MIDLAND, MI
NPI1376109272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851109762)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-05-15
Last Update Date2025-05-07
Business Address
STEPHANIE BLAKE
1525 RIDGEWOOD DR
MIDLAND, MI 48642-6425
Phone number: 989-835-6333
Mailing Address
STEPHANIE BLAKE
2601 ISABELLA ST
MIDLAND, MI 48640-4194
Phone number: 989-495-3380