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Individual
MRS. REBECCA BLACKWOOD
Active
Individual
MRS. REBECCA BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1700731
OH
1041C0700X
Clinical Social Worker
CW017741
PA
1041C0700X
Clinical Social Worker
Primary
I.1700731
OH
Other
Enumeration date
07/17/2013
Last updated
08/29/2024
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