Individual
CONSTANCE PFISTER BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6815 FAYETTEVILLE RD STE 202, DURHAM, NC 27713-7082
(919) 544-3907
Mailing address
6815-202 FAYETTEVILLE ROAD, DURHAM, NC 27713
(919) 544-3907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003258
—
NC
Enumeration date
09/16/2006
Last updated
10/23/2013
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