Individual
MRS. STACEY BLAKE BLICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 CAMERON CT, WESTON, FL 33326-3519
(954) 349-4573
(954) 495-8807
Mailing address
179 CAMERON CT, WESTON, FL 33326-3519
(954) 349-4573
(954) 495-8807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
07/09/2007
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