Individual
ELIZABETH BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(541) 508-8906
Mailing address
63025 FREMONT RD, BEND, OR 97701-9677
(541) 508-8906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11429
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/10/2020
Last updated
12/17/2024
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