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1598446395
KECIA BLAKELY, MSP, LMHC
SOUTH BEND, IN
NPI
1598446395
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Entity Type
Organization
Authorized Contact
KECIA MARIE BLAKELY
Owner
574-800-9681
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-26
Last Update Date
2024-09-03
Business Address
KECIA BLAKELY, MSP, LMHC
52189 SCOTT ST
SOUTH BEND, IN 46637
Phone number: 574-208-3359
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Mailing Address
KECIA BLAKELY, MSP, LMHC
52189 SCOTT ST
SOUTH BEND, IN 46637-2952
Phone number: 574-800-9681
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