Individual
KELLY BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
42631 NORTH 43RD DRIVE, KELLY'S ADULT THERAPEUTIC FOSTER HOME, NEW RIVER, AZ 85087
(623) 670-4139
(623) 551-8185
Mailing address
P.O. BOX 16906, HUMAN SERVICES CONSULTANTS, PHOENIX, AZ 85011-6906
(602) 524-9406
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BH-3651
AZ
104100000X
Social Worker
—
—
Other
Enumeration date
01/18/2007
Last updated
10/27/2010
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