Individual
ANASTASIA BAKLASHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
121 N 2ND ST, SUITE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
Mailing address
501 SE KARRIGAN TER, PORT ST LUCIE, FL 34983-3235
(708) 828-3019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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