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Individual

SANDRA BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
136 STEWART ST, WELCH, WV 24801-2026
(304) 922-6894
Mailing address
PO BOX 13, ELBERT, WV 24830-0013
(304) 922-6894

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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