Individual
ALECIA ELAINE BLAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 E 2ND ST, CASPER, WY 82609-2048
(307) 333-1301
(307) 333-5436
Mailing address
1764 BRIGHAM YOUNG ST, CASPER, WY 82604-3085
(307) 680-8227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1360
WY
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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