Individual
ASHLEY BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6952 WYNNE RIDGE RD N, CORDOVA, TN 38016-5605
(901) 218-0059
Mailing address
6952 WYNNE RIDGE RD N, CORDOVA, TN 38016-5605
(901) 218-0059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7157
TN
Other
Enumeration date
01/15/2019
Last updated
05/19/2021
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