Individual
BLAKE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 ANSEL RD APT 511, CLEVELAND, OH 44106-4103
(717) 495-6961
Mailing address
1750 ANSEL RD APT 511, CLEVELAND, OH 44106-4103
(717) 495-6961
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
S.2005262
OH
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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