Individual
CAROL J BLANKENSHIP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSQ
Contact information
Practice address
1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
(520) 615-6200
(520) 615-6255
Mailing address
1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
(520) 615-6200
(520) 615-6255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2974
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958382
—
AZ
Enumeration date
11/09/2005
Last updated
07/08/2007
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