Individual
SARAH BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5323 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3113
(505) 889-3412
Mailing address
PO BOX 37440, ALBUQUERQUE, NM 87176-7440
(505) 382-7451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09228
NM
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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