Keavy Nakia Blalock Jr.
Keavy Nakia Blalock Jr. is a Peer Specialist in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2021
Practice location Address checks out
2201 S 19th StTacoma, WA 98405-2962
Phone: (253) 495-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (WA) |
|---|
Record details
| NPI number | 1255001376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2021 |
| Last updated in NPPES | September 20, 2021 |
| Certification date | September 16, 2021 |
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