Individual
CHRISTIE LEE BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14325 JEFFRIES PL, MIDLOTHIAN, VA 23114-4359
(804) 409-2353
Mailing address
14325 JEFFRIES PL, MIDLOTHIAN, VA 23114-4359
(804) 419-4122
(804) 520-5650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003316
VA
Other
Enumeration date
08/27/2007
Last updated
02/04/2022
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