Individual
MRS. ROSE BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2543 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4925
(334) 792-9814
(334) 702-2828
Mailing address
2543 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4925
(334) 792-9814
(334) 702-2828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1328
AL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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