TRICIA BLAKELY

PORTLAND, IN
NPI1518097559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004432A)
Enumeration Date2007-03-07
Last Update Date2014-11-25
Business Address
Mrs. TRICIA BLAKELY LCSW
931 W WATER ST
PORTLAND, IN 47371-1755
Phone number: 765-288-1928
Mailing Address
Mrs. TRICIA BLAKELY LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928