Organization
AMANDA BLACKWELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES AMANDA BLACKWELL LCSW (OWNER)
(919) 274-3856
Entity
Organization
Contact information
Practice address
6255 TOWNCENTER DR STE 893, CLEMMONS, NC 27012-9376
(336) 794-6734
(336) 792-2671
Mailing address
815 MADISON AVE, WINSTON SALEM, NC 27103-3746
(919) 274-3856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
04/18/2024
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