Individual
AKAISHA SAFA'E BLACKHAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4309 UNIVERSITY AVE, DES MOINES, IA 50311-3423
(515) 402-8513
Mailing address
1120 SE 11TH ST UNIT 3203, GRIMES, IA 50111-1236
(515) 402-8513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115515
IA
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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