Individual
MS. PAMELA K. BLACKBURN-NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 E LEXINGTON AVE, STE. 27, DANVILLE, KY 40422-9042
(859) 967-8172
(859) 885-5327
Mailing address
PO BOX 918, NICHOLASVILLE, KY 40340-0918
(859) 967-8172
(859) 885-5327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
08/04/2006
Last updated
07/09/2007
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