Individual
MRS. HEATHER RENEE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7500 MEMORIAL PKWY SW STE 215M, HUNTSVILLE, AL 35802-2200
(512) 256-0065
Mailing address
PO BOX 581, MERIDIANVILLE, AL 35759-0581
(512) 256-0065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5264C
AL
1041C0700X
Clinical Social Worker
Primary
65924
TX
Other
Enumeration date
06/24/2021
Last updated
07/04/2023
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