Individual
DANA BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
43 CENTER ST, SUITE 204, NORTHAMPTON, MA 01060-3063
(413) 584-1766
Mailing address
43 CENTER ST, SUITE 204, NORTHAMPTON, MA 01060-3063
(413) 584-1766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1025803
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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