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Individual

MRS. CERRISSA BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
24119 OLD COLUMBIA RD, FRANKLINTON, LA 70438-2659
(985) 335-2283
Mailing address
24119 OLD COLUMBIA RD, FRANKLINTON, LA 70438-2659
(985) 335-2283

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7635
LA
1041S0200X
School Social Worker
7635
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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