STEPHANIE KUULEI BLAKE

OREM, UT
NPI1649365362
Former NameSTEPHANIE KUULEI SUJETA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: UT  348922-3502)
Enumeration Date2006-10-04
Last Update Date2020-02-20
Business Address
STEPHANIE KUULEI BLAKE LCSW
26 W HIDDEN HOLLOW DR
OREM, UT 84058-7497
Phone number: 801-836-6760
Mailing Address
STEPHANIE KUULEI BLAKE LCSW
26 W HIDDEN HOLLOW DR
OREM, UT 84058-7497
Phone number: 801-836-6760