Individual
ANDREA K BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 MALLARD ST., GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1215
Mailing address
1449 TEMPLE RD, BREMEN, GA 30110-2378
(770) 537-2367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW008540
GA
Other
Enumeration date
03/10/2010
Last updated
03/31/2023
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