Individual
ARIELLE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4727 W LYDIA LN, LAVEEN, AZ 85339-6321
(312) 520-6049
Mailing address
4727 W LYDIA LN, LAVEEN, AZ 85339-6321
(312) 520-6049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22470
AZ
Other
Enumeration date
06/15/2023
Last updated
04/02/2025
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