Individual
STEPHANIE BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
(312) 842-4498
Mailing address
3859 N RAVENSWOOD AVE, #2, CHICAGO, IL 60613-2735
(815) 861-1217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
07/23/2015
Last updated
07/27/2015
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