Individual
CORAL LYNN BLANKINSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
7500 212TH ST SW STE 106, EDMONDS, WA 98026-7614
(206) 852-7304
Mailing address
7500 212TH ST SW STE 106, EDMONDS, WA 98026-7614
(062) 852-7304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61207032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134762388
—
WA
01
—
LW61207032
LICSW
WA
Enumeration date
10/21/2019
Last updated
05/30/2025
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