Individual
SARA K BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-3725
(314) 967-3972
Mailing address
2900 NW CLEARWATER DR STE 200, BEND, OR 97703-9412
(314) 967-3972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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