WHITNEY STANA BLAKELY

ROCKFORD, IL
NPI1831532803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  149015840)
Enumeration Date2013-04-09
Last Update Date2013-04-09
Business Address
Mrs. WHITNEY STANA BLAKELY LCSW MSW
415 S MULFORD RD
ROCKFORD, IL 61108-3011
Phone number: 815-979-8164
Mailing Address
Mrs. WHITNEY STANA BLAKELY LCSW MSW
415 S MULFORD RD
ROCKFORD, IL 61108-3011
Phone number: 815-979-8164