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Mary Ellen Teresa Blakesley, BS

Case Manager/Care Coordinator in Melbourne, FL. Individual provider (NPI-1).

NPI number1073630786
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1073630786
Entity type
Individual (NPI-1)
Name
Ms. Mary Ellen Teresa Blakesley
Credential
BS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2000 Commerce Dr
Melbourne, FL 32904-2335

Phone 321-409-2170 · Fax 321-676-6652

Mailing address

2000 Commerce Dr
Melbourne, FL 32904-2335

Phone 321-409-2170 · Fax 321-676-6652

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