Individual
MRS. JAMIE LEANN BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 AZTALAN STREET, JOHNSON CREEK, WI 53038
(920) 541-4800
Mailing address
PO BOX 39, JOHNSON CREEK, WI 53038-0039
(920) 541-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1590039794
WI
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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