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Organization
WHITNEY S BLAKELY PC
Active
Organization
WHITNEY S BLAKELY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY S BLAKELY LCSW (THERAPIST)
(815) 979-8164
Entity
Organization
Contact information
Practice address
415 S MULFORD RD, ROCKFORD, IL 61108-3011
(815) 979-8164
(815) 399-5767
Mailing address
415 S MULFORD RD, ROCKFORD, IL 61108-3011
(815) 979-8164
(815) 399-5767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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