Individual
PATRICIA BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(484) 754-7273
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0020
(704) 865-3525
(704) 865-3520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006288
GA
Other
Enumeration date
02/20/2007
Last updated
06/10/2019
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