Individual
DAVID BRADLEY BLACKSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
7111 N 7TH ST, PHOENIX, AZ 85020-5303
(602) 944-4630
(602) 870-3890
Mailing address
7111 N 7TH ST, PHOENIX, AZ 85020-5303
(602) 944-4630
(602) 870-3890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10118
AZ
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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