Individual
LAUREN CHASTAIN-BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 BROWN ST NW APT 101, WASHINGTON, DC 20010-1859
(703) 795-3431
Mailing address
3440 BROWN ST NW APT 101, WASHINGTON, DC 20010-1859
(703) 795-3431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50081617
DC
1041C0700X
Clinical Social Worker
Primary
19878
MD
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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