Individual
MS. SANDRA P BLAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4465 N OAKLAND AVE, SHOREWOOD, WI 53211-1662
(414) 964-8980
Mailing address
1838 N 75TH ST, WAUWATOSA, WI 53213-2224
(414) 475-5430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2587 - 123
WI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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