Individual
NICHELLE CATHERINE BLAKESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6041
(319) 493-7613
(319) 249-0508
Mailing address
3301 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6041
(319) 493-7613
(319) 249-0508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111242
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324505128
—
IA
Enumeration date
12/28/2021
Last updated
09/04/2024
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