Individual
CECILY E BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
24305 W 107TH PL, OLATHE, KS 66061-7581
(913) 219-5051
Mailing address
24305 W 107TH PL, OLATHE, KS 66061-7581
(913) 219-5051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2023037094
MO
1041C0700X
Clinical Social Worker
Primary
4055
KS
Other
Enumeration date
03/16/2012
Last updated
07/10/2024
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