Individual
CAMI LYNN BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1118 NW 16TH ST STE D, FRUITLAND, ID 83619-2272
(208) 452-7677
Mailing address
338 PERRY DR, PAYETTE, ID 83661-3150
(208) 642-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-27595
ID
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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