Individual
MR. JOEL THOMAS BLACKSTOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW
Contact information
Practice address
1720 2ND AVE. SOUTH, CCB 4TH FLOOR, BIRMINGHAM, AL 35294-2050
(205) 934-4108
(205) 975-8950
Mailing address
108 RALEIGH AVE, BIRMINGHAM, AL 35209
(205) 999-9240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3768G
AL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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