Whitney Stana Blakely, LCSW MSW Valid NPI
Individual provider · Social Worker · Rockford, IL
- NPI
- 1831532803
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 149015840 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-04-09
- Last updated
- 2013-04-09
Practice location
415 S Mulford Rd
Rockford, IL 61108-3011
(815) 979-8164