Individual
DENISE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WINDSOR CV, SUITE 303, COLUMBIA, SC 29223-1833
(803) 865-8601
(803) 626-1120
Mailing address
1 WINDSOR CV, SUITE 303, COLUMBIA, SC 29223-1833
(803) 865-8601
(803) 626-1120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9811
SC
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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