Individual
BLAKELY ELIZABETH HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605
(229) 333-0300
(229) 333-0306
Mailing address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
(229) 333-0300
(229) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004686
GA
Other
Enumeration date
06/04/2018
Last updated
06/11/2019
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