Individual
ELIZABETH CAROL SPERRY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
(804) 365-4206
Mailing address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008907
VA
Other
Enumeration date
11/21/2016
Last updated
03/24/2017
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