Individual
KATHERINE LORA BLACKSTONE ALLEN
Active
Individual
KATHERINE LORA BLACKSTONE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MHP, CMHS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60424218
WA
1041C0700X
Clinical Social Worker
Primary
LW60424218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122309
—
WA
Enumeration date
08/21/2009
Last updated
09/18/2023
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