Individual
KATHRYN BLUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
217 E MAIN ST., WISE, VA 24293
(276) 298-5034
Mailing address
745 WOOD AVE E, BIG STONE GAP, VA 24219-3023
(423) 967-9867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013477
VA
Other
Enumeration date
12/07/2021
Last updated
08/18/2022
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