Individual
BARBARA BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
(813) 689-8802
Mailing address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
(813) 689-8802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3665
FL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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