MICKIA TICRE BLAKE

PORT ST LUCIE, FL
NPI1841813201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   Imh28976)
Enumeration Date2020-05-20
Last Update Date2026-06-12
Business Address
Miss MICKIA TICRE BLAKE
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986-2281
Phone number: 561-216-5711
Mailing Address
Miss MICKIA TICRE BLAKE
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986-2281
Phone number:
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