Individual
MS. ERIN ELIZABETH BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
407 E RUSSELL AVE STE A4, WARRENSBURG, MO 64093-1242
(660) 429-6678
(660) 429-6672
Mailing address
PO BOX C, WARRENSBURG, MO 64093-0768
(660) 429-6678
(660) 429-6672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014040085
MO
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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