Stephanie Blaise
Social Worker, Clinical in Largo, FL. Individual provider (NPI-1).
NPI number1356158653
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1356158653
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Blaise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2024
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
8550 Ulmerton RdLargo, FL 33771-5358
Phone 727-657-7761
Mailing address
11326 N 46th St Apt 1101Tampa, FL 33617-2002
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