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Individual

MR. AARON V BLACKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4600 KIETZKE LN, RENO, NV 89502-5033
(775) 507-7222
Mailing address
4600 KIETZKE LN STE N250, RENO, NV 89502-5000
(755) 077-2222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5007-S
NV
1041C0700X
Clinical Social Worker
9470-C
NV

Other

Enumeration date
07/30/2019
Last updated
08/02/2022
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