Individual
CARRIE BLAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
567 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986-1629
(772) 337-8164
Mailing address
3774 SW HALE ST, PORT SAINT LUCIE, FL 34953-3871
(561) 319-8468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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